Why Choose Vargas Gonzalez Delombard, LLP in New York?

At VGD, we understand the high stakes of business liability claims in a fast-paced and high-risk environment like New York. Whether your business operates in Midtown Manhattan, Brooklyn, or upstate, we bring sharp litigation skills and deep insurance industry insight to every dispute. Our attorneys are familiar with the nuances of New York’s regulatory framework and court system, and we know how to compel insurers to do what they’re paid to do—provide protection when it matters most.

What Is General Liability Insurance?

Commercial General Liability (CGL) insurance is a foundational safeguard for New York businesses. It protects against financial losses stemming from third-party claims, including:

  • Bodily injury to customers or vendors
  • Property damage caused by your business operations
  • Personal and advertising injury (e.g., slander, libel, or copyright claims)
  • Defense costs, settlements, and court judgments (up to policy limits)

Although New York does not legally require CGL insurance for most private enterprises, it is often mandatory under city contracts, leases, and vendor agreements. Businesses in industries like hospitality, construction, real estate, and media are especially vulnerable to liability exposure in the state’s litigious environment.

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Common Insurance Coverage Disputes in New York

Disputes over CGL insurance are common in New York due to dense commercial activity and legal complexity. Common issues include:

Low Settlement Offers or Drawn-Out Claim Delays

New York courts recognize that insurers have a duty to act in good faith during claim handling. While punitive damages for bad faith are rare, policyholders may seek consequential damages for delays or low offers that result in additional economic loss (Bi-Economy Market, Inc. v. Harleysville Ins. Co. of N.Y., 10 N.Y.3d 187 (2008)).

To clarify, the Court held that insureds may recover consequential damages for breach of the implied covenant of good faith and fair dealing—even if not explicitly listed in the policy.

Refusal to Defend a Lawsuit Despite Coverage Potential

New York follows the “eight corners rule,” meaning the insurer must compare the four corners of the complaint with the four corners of the policy. If any allegations potentially fall within coverage, the insurer has a broad duty to defend (Automobile Insurance v. Cook – CourtListener.com).

Coverage Disputes Involving Subcontractors, Additional Insureds, or Overlapping Policies

These disputes are common in New York construction and real estate, where additional insured endorsements and indemnity clauses are heavily litigated. Per Burlington Ins. Co. v. NYC Transit Auth., 29 N.Y.3d 313 (2017), the Court of Appeals clarified when a party qualifies as an additional insured based on causation, not just contract language.

Conflicts between primary and excess insurers or between multiple CGL carriers often arise when defense obligations are disputed per Pecker Iron Works v. Travelers Ins. Co., 99 N.Y.2d 391 (2003).

Retroactive Rescission of the Policy for Misrepresentation

Insurers in New York may attempt to rescind a policy ab initio (from the beginning) due to alleged misrepresentations in the application. However, Insurance Law § 3105 restricts this to material misrepresentations that would have changed the insurer’s underwriting decision. This was covered in Republic Ins. Co. v. Masters, 306 A.D.2d 275 (2d Dep’t 2003).

Denials Based on Exclusions (e.g., Employer Liability, Pollution, Intentional Acts)

New York courts regularly enforce and interpret CGL policy exclusions, including those for employer liability, pollution, and intentional or criminal acts. For example:

Why Are Insurance Disputes Common in New York?

New York's legal environment is one of the most complex and heavily litigated in the nation. Factors contributing to frequent disputes include:

Ambiguous policy language, particularly in complex commercial endorsements
High-frequency claims due to population density and commercial activity
Stringent contractual requirements from landlords, municipalities, and project owners
Additional insured disputes, especially in construction and real estate
Aggressive insurer tactics in denying or limiting coverage to protect profit margins

Insurers doing business in New York must adhere to strict claim-handling rules under NY Insurance Regulation 64, which mandates prompt investigation and fair settlement of claims.

What to Expect During a New York Insurance Dispute

Our firm follows a results-driven process designed to hold insurers accountable:

  1. Policy Examination: We analyze all policy provisions, including exclusions and additional insured language.
  2. Evidence Collection: We obtain adjuster notes, claim files, and relevant third-party documentation.
  3. Pre-Litigation Demands: We negotiate aggressively before initiating formal litigation.
  4. Litigation: If necessary, we file suit in state or federal court for breach of contract, declaratory judgment, or consequential damages under Bi-Economy and Panasia Estates precedent.
  5. Settlement or Trial: We pursue every option to maximize your recovery.

When Should You Contact a New York Insurance Attorney?

You should speak with counsel if:

  • You’ve received a denial or reservation of rights letter
  • Your insurer is delaying or underpaying your claim
  • You’re being sued, and your insurer refuses to defend you
  • A subcontractor’s insurer denies your additional insured status
  • Your policy was canceled or rescinded after filing a claim

New York applies a six-year statute of limitations for breach of contract (CPLR § 213), but delays in action may weaken your claim. Prompt legal advice is critical.

Who Can Be Held Liable?

Depending on the issue, liable parties may include:

  • The insurer
  • Brokers or agents, for negligent misrepresentation or failure to obtain requested coverage
  • Third parties, whose actions triggered the claim or liability exposure

A successful insurance dispute case in New York may result in:

  • Full claim value
  • Legal fees and interest (in some cases)
  • Consequential damages for financial harm caused by wrongful denial
  • Declaratory relief clarifying your future rights under the policy
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FAQ's

Does New York allow punitive damages in insurance disputes?

What is the duty to defend in New York?

Can I sue an insurance broker in New York?

Is CGL insurance required to operate a business in New York?

How long do I have to file a lawsuit against my insurer?

What happens if my general liability policy contains conflicting endorsements?

Can my insurer deny coverage based on late notice of a claim?

Does general liability insurance cover employee injuries in New York?

What should I do if my insurer issues a “reservation of rights” letter?

What if multiple insurers are involved in defending the same claim?

Does New York allow punitive damages in insurance disputes?

Not typically. However, New York does allow consequential damages when an insurer’s denial causes additional economic loss that was reasonably foreseeable at the time of contracting.

What is the duty to defend in New York?

New York courts apply a broad interpretation: if any portion of the underlying claim could trigger coverage, the insurer must defend the entire action.

Can I sue an insurance broker in New York?

Yes. If your broker failed to obtain proper coverage, misrepresented a policy’s terms, or failed to list required additional insureds, they can be liable for resulting losses.

Is CGL insurance required to operate a business in New York?

It’s not legally required statewide, but most landlords, contractors, and city agencies require it as a condition of doing business.

How long do I have to file a lawsuit against my insurer?

Under New York law, the statute of limitations for breach of an insurance contract is six years from the date of breach. However, policy terms may shorten that period.

What happens if my general liability policy contains conflicting endorsements?

When a policy includes endorsements that contradict the base policy or each other, New York courts apply rules of policy interpretation that favor the insured. Ambiguities are construed against the insurer, especially if the conflicting provisions create uncertainty about coverage. This is known as the contra proferentem doctrine.

Can my insurer deny coverage based on late notice of a claim?

Yes—but only under certain conditions. In New York, timely notice is a condition precedent to coverage. However, for liability policies issued on or after January 17, 2009, insurers must prove they were materially prejudiced by the delay to deny a claim.

Does general liability insurance cover employee injuries in New York?

Typically, no. Employee injuries are usually excluded from CGL policies and are meant to be covered under workers’ compensation insurance. However, disputes may arise when a third-party claim involves dual roles, such as subcontractors or leased employees. In such cases, the employer liability exclusion may be improperly applied or contested.

What should I do if my insurer issues a “reservation of rights” letter?

  • Request clarification on what coverage is being questioned
  • Avoid admitting liability without counsel
  • Contact an attorney immediately, as a conflict of interest may entitle you to independent counsel

What if multiple insurers are involved in defending the same claim?

In New York, if more than one insurer has a duty to defend, they may dispute allocation of costs, but this doesn’t affect your right to full defense. You’re entitled to coverage from any one carrier with a duty to defend, and disputes between insurers are typically resolved separately through contribution or subrogation actions.

Don’t Let Your Insurer Control the Narrative

In New York, insurers face legal obligations—but they don’t always meet them. Vargas Gonzalez Delombard, LLP represents businesses and professionals across the Empire State in high-stakes general liability disputes. Let us help you enforce your rights and recover the protection your policy promised. Contact us today for a confidential consultation.

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