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

At Vargas Gonzalez Delombard, LLP, we represent New York professionals whose reputations—and careers—are on the line when E&O insurers wrongfully deny claims. Our team has litigated against national carriers across industries, including real estate, tech, medicine, financial services, and design. From Manhattan to the outer boroughs and beyond, we know how to untangle complex policy language, challenge bad faith tactics, and deliver results for clients navigating high-stakes disputes with powerful insurers.

What Are E&O Claims?

An E&O claim arises when a client or third party alleges you made a professional mistake that caused financial harm. E&O insurance helps defend you and pay settlements or judgments arising from:

  • Negligent advice
  • Breach of fiduciary duty
  • Documentation errors or omissions
  • Failure to meet contractual or industry standards
  • Misrepresentation or professional oversight

Covered professions in New York often include:

  • Real estate brokers and agents
  • Attorneys and legal consultants
  • Accountants, CPAs, and wealth advisors
  • Architects, engineers, and surveyors
  • Healthcare and mental health providers
  • Advertising and media professionals
Banner media

Critical Issues in New York E&O Insurance Disputes

E&O coverage disputes often revolve around three pivotal questions:

Was the Claim Timely Reported?

In New York, the specified time frame for reporting a claim under an E&O "claims-made and reported" policy is defined by the terms of the policy itself, not by statute:

  • During the policy period or within a contractually defined extended reporting period (ERP)—usually 30 to 60 days after policy expiration, unless an optional tail coverage is purchased
  • Many policies require “as soon as practicable” notice, but no later than a fixed deadline, e.g., 60 or 90 days post-policy expiration

Was the Act Within the Scope of Professional Services?

E&O coverage is tied to services you perform in your licensed or contractually defined role. Insurers may deny coverage if the conduct falls outside that scope, such as personal advice, internal management decisions, or non-professional conduct.

Does the Act Meet the Definition of a Covered Wrongful Act?

Policies define “wrongful act” differently, and many exclude claims for repeated mistakes, intentional wrongdoing, or “anticipated losses.” If the act occurred outside the policy period or before the retroactive date, insurers may argue it’s excluded entirely.

Why Do Insurers Deny E&O Claims?

E&O insurers in New York frequently deny claims using broad and often questionable interpretations of policy language. Common denial strategies include:

  • Invoking exclusions for fraud, criminal acts, or willful misconduct
  • Arguing the insured had prior knowledge of the issue
  • Claiming damages are intangible or reputational only
  • Disputing the scope of services or the type of error alleged
  • Asserting the claim was not reported properly or timely

Our attorneys cut through this legal posturing to hold carriers accountable for bad faith conduct and contract breaches.

Banner media

What Damages Can Be Recovered in a New York E&O Dispute?

Depending on your situation, you may be entitled to:

  • Full reimbursement of defense costs
  • Indemnification for settlements or judgments
  • Consequential damages under Bi-Economy, such as lost income or business interruption
  • Prejudgment interest
  • Attorney’s fees in limited bad faith or statutory cases
  • Potential punitive damages for egregious insurer misconduct

Tips to Protect Your E&O Coverage

  • Immediately report any client complaint or threat of legal action
  • Document all professional communications, advice, and deliverables
  • Avoid acknowledging liability without legal guidance
  • Maintain updated copies of all policy documents
  • Work with an experienced insurance lawyer before responding to your carrier
Banner media

How We Resolve E&O Insurance Disputes in New York

Detailed Policy Review to Determine Scope of Coverage

We begin by comprehensively analyzing your E&O insurance policy, including the insuring agreement, exclusions, endorsements, definitions of “claim” and “wrongful act,” and any conditions precedent to coverage. Our goal is to identify every opportunity to trigger the insurer’s duty to defend and indemnify under New York’s contract interpretation standards.

Investigations to Support the Legitimacy of Your Claim

We gather and evaluate all supporting evidence—including engagement letters, communications, client deliverables, billing records, and third-party allegations. This fact-intensive investigation helps us establish that the claim arises from covered professional services and falls within the policy’s time and scope requirements.

Direct Insurer Communications to Assert Rights Under New York Law

Our team communicates directly with the insurer to demand compliance with its obligations, citing relevant case law and industry standards. We often begin with a formal coverage demand that challenges the basis for denial, reserves your rights, and positions the matter for either resolution or escalation. In New York, even the duty to defend a potentially covered claim is enforceable regardless of whether the allegations are ultimately proven.

Civil Litigation for Breach of Contract and Bad Faith When Appropriate

If negotiation fails, we take swift legal action by filing suit in New York State Supreme Court or federal court. We pursue causes of action for breach of contract, and in qualifying cases, consequential damages under Bi-Economy Market, Inc. v. Harleysville for insurer conduct that violates your reasonable expectations of timely performance. While punitive damages are rare, we use all statutory and common-law remedies available.

Profession-Specific Strategy for Private and Regulated Industries

Whether you’re a solo architect, a financial services professional, a healthcare consultant, or a licensed real estate broker, our approach is calibrated to your regulatory environment, industry standards of care, and risk exposure. We collaborate with experts as needed and ensure that your legal strategy protects your claim and your career.

Lawyer holding paper

Choosing the Right E&O Insurance Attorney in NYC

Look for a legal partner with:

  • In-depth knowledge of New York’s commercial and insurance laws
  • Experience dealing with large national and surplus lines insurers
  • A litigation-forward approach with negotiation skill
  • Proactive communication and client-first advocacy

Vargas Gonzalez Delombard, LLP brings all of this to the table—delivering strength and clarity in the face of insurer delay or denial.

FAQ's

What is the statute of limitations for suing an E&O insurer in New York?

Can I recover consequential damages if my insurer wrongfully denies a claim?

Can I sue my insurer for bad faith in New York?

Does New York require insurers to provide a defense even for questionable claims?

What if I didn’t know a mistake happened until months later?

Do E&O policies cover legal disputes arising from contract breaches?

Can a claim still be valid if it involves multiple professionals or firms?

What role does my broker play if my claim is denied?

Does it matter if the claim is based on a mistake made by an employee?

Are fines or penalties imposed by regulators covered by E&O insurance?

What if I receive a subpoena or deposition notice—should I report it to my insurer?

Can I choose my own lawyer if my insurer agrees to defend me?

What is the statute of limitations for suing an E&O insurer in New York?

Generally, six years from the date of breach under CPLR § 213, unless otherwise specified in the policy.

Can I recover consequential damages if my insurer wrongfully denies a claim?

Yes, if you can show the insurer's breach caused foreseeable business losses.

Can I sue my insurer for bad faith in New York?

Yes, but punitive damages are only awarded where the insurer acted with gross disregard for your rights or intentionally harmed you.

Does New York require insurers to provide a defense even for questionable claims?

Yes. The duty to defend is broader than the duty to indemnify, and insurers must defend any claim with a reasonable possibility of coverage.

What if I didn’t know a mistake happened until months later?

Under most claims-made policies, timely reporting is still required. Consult an attorney immediately to assess options for late notice defense.

Do E&O policies cover legal disputes arising from contract breaches?

Not always. Many E&O policies exclude pure breach of contract claims unless the breach arises from professional negligence or a wrongful act as defined in the policy. For example, failing to meet a deadline may be covered if it involves negligent service delivery, but not if it's a simple failure to perform under a commercial agreement. The key is whether the breach is tied to a professional duty.

Can a claim still be valid if it involves multiple professionals or firms?

Yes. E&O claims can involve shared liability among multiple insureds or non-insured third parties. Even if another professional contributed to the alleged harm, your insurer may still have a duty to defend you. Courts in New York look at whether any part of the claim falls within the coverage terms, not whether you were the sole cause.

What role does my broker play if my claim is denied?

While brokers can assist in notifying insurers and explaining policy terms, they are not legal representatives and typically cannot resolve disputes. If a denial occurs, a broker’s role is limited. However, in some cases where a broker fails to secure proper coverage, they themselves could face negligence liability, potentially triggering their own E&O exposure.

Does it matter if the claim is based on a mistake made by an employee?

Possibly. Most E&O policies extend coverage to employees acting within the scope of their employment, but not to independent contractors unless specifically named. The claim may be excluded if the employee acted outside company policy or engaged in intentional misconduct.

Are fines or penalties imposed by regulators covered by E&O insurance?

Generally, no. Civil or criminal fines, penalties, and sanctions imposed by regulatory agencies (e.g., SEC, NYDFS, DOH) are almost always excluded. However, legal fees associated with defending against regulatory investigations may be covered under certain endorsements or specialized policies.

What if I receive a subpoena or deposition notice—should I report it to my insurer?

Yes. Even if no formal lawsuit has been filed, a subpoena or notice of deposition may signal a potential claim. Most policies allow for reporting “circumstances that may lead to a claim,” and early notice can preserve your right to coverage. Failing to report it could undermine future defense rights.

Can I choose my own lawyer if my insurer agrees to defend me?

It depends. Some E&O policies give the insurer the right to appoint panel counsel, while others allow you to select your own attorney with the insurer’s consent. If there is a conflict of interest—for example, if coverage is reserved or partially denied—you may be entitled to independent counsel at the insurer’s expense under New York law.

Proven Counsel for Professionals in Crisis

If your insurer has denied your claim or refused to defend you, don’t wait to act. The financial and professional consequences can be serious. At Vargas Gonzalez Delombard, LLP, we help professionals across New York enforce their rights under complex E&O policies. Contact us now to schedule a confidential consultation.

This field is required.
Subscribe

Free Claims Consultation Tell Us About Your Case

Get a Free Case Evaluation
Contact us media
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (347) 808-4890.
Contact Us