Section 3420. Liability insurance; standard provisions; right of injured person  


Latest version.
  • (a) No policy or contract insuring against liability for  injury  to  person,  except  as  provided  in subsection (g) of this section, or
      against liability for injury to, or destruction of,  property  shall  be
      issued  or  delivered in this state, unless it contains in substance the
      following provisions or provisions that are equally or more favorable to
      the insured and to judgment creditors so far as such  provisions  relate
      to judgment creditors:
        (1)  A  provision  that  the  insolvency  or  bankruptcy of the person
      insured, or the insolvency of the insured's estate,  shall  not  release
      the  insurer  from  the  payment of damages for injury sustained or loss
      occasioned during the life of and within the coverage of such policy  or
      contract.
        (2)  A  provision  that  in  case  judgment against the insured or the
      insured's personal  representative  in  an  action  brought  to  recover
      damages  for  injury  sustained  or loss or damage occasioned during the
      life  of  the  policy  or  contract  shall  remain  unsatisfied  at  the
      expiration  of  thirty  days  from  the  serving  of  notice of entry of
      judgment upon the attorney for the insured, or  upon  the  insured,  and
      upon  the  insurer,  then an action may, except during a stay or limited
      stay of execution against the insured on such  judgment,  be  maintained
      against  the  insurer  under the terms of the policy or contract for the
      amount of such judgment not exceeding the amount of the applicable limit
      of coverage under such policy or contract.
        (3) A provision that notice given by or on behalf of the  insured,  or
      written  notice  by  or  on  behalf  of  the injured person or any other
      claimant, to any licensed agent of  the  insurer  in  this  state,  with
      particulars  sufficient  to identify the insured, shall be deemed notice
      to the insurer.
        (4) A provision that failure to give any notice required to  be  given
      by  such  policy within the time prescribed therein shall not invalidate
      any claim made by the insured, an injured person or any  other  claimant
      if  it  shall be shown not to have been reasonably possible to give such
      notice within the prescribed time and that notice was given as  soon  as
      was reasonably possible thereafter.
        (5)  A  provision that failure to give any notice required to be given
      by such policy within the time prescribed therein shall  not  invalidate
      any  claim  made  by  the insured, injured person or any other claimant,
      unless the failure to provide timely notice has prejudiced the  insurer,
      except as provided in paragraph four of this subsection. With respect to
      a  claims-made  policy,  however,  the policy may provide that the claim
      shall be made during the policy period,  any  renewal  thereof,  or  any
      extended  reporting period, except as provided in paragraph four of this
      subsection. As used in this paragraph, the  terms  "claims-made  policy"
      and  "extended reporting period" shall have their respective meanings as
      provided in a regulation promulgated by the superintendent.
        (6) A provision that, with respect to a claim arising out of death  or
      personal  injury  of  any  person, if the insurer disclaims liability or
      denies coverage based upon the failure to provide  timely  notice,  then
      the  injured  person  or  other claimant may maintain an action directly
      against such insurer, in  which  the  sole  question  is  the  insurer's
      disclaimer  or  denial  based  on  the failure to provide timely notice,
      unless within sixty  days  following  such  disclaimer  or  denial,  the
      insured or the insurer: (A) initiates an action to declare the rights of
      the parties under the insurance policy; and (B) names the injured person
      or other claimant as a party to the action.
        (b)  Subject  to  the  limitations  and conditions of paragraph two of
      subsection (a) of this section, an  action  may  be  maintained  by  the
    
      following  persons  against  the  insurer upon any policy or contract of
      liability insurance that is governed by such paragraph, to  recover  the
      amount of a judgment against the insured or his personal representative:
        (1)  any person who, or the personal representative of any person who,
      has obtained a judgment against the insured or  the  insured's  personal
      representative,  for  damages  for  injury  sustained  or loss or damage
      occasioned during the life of the policy or contract;
        (2) any person who, or the personal representative of any person  who,
      has  obtained  a  judgment against the insured or the insured's personal
      representative to enforce a right of contribution or indemnity,  or  any
      person subrogated to the judgment creditor's rights under such judgment;
      and
        (3)  any assignee of a judgment obtained as specified in paragraph one
      or paragraph two of this subsection, subject further to  the  limitation
      contained in section 13-103 of the general obligations law.
        (c)  (1)  If  an  action  is  maintained  against an insurer under the
      provisions of paragraph two of subsection (a) of this  section  and  the
      insurer  alleges  in  defense  that  the  insured  failed  or refused to
      cooperate with the insurer in violation of any provision in  the  policy
      or  contract  requiring  such cooperation, then the burden shall be upon
      the insurer to prove such alleged failure or refusal to cooperate.
        (2)(A) In  any  action  in  which  an  insurer  alleges  that  it  was
      prejudiced as a result of a failure to provide timely notice, the burden
      of  proof  shall  be  on:  (i)  the  insurer  to  prove that it has been
      prejudiced, if the notice was provided within  two  years  of  the  time
      required  under the policy; or (ii) the insured, injured person or other
      claimant to prove that the insurer  has  not  been  prejudiced,  if  the
      notice  was  provided  more than two years after the time required under
      the policy.
        (B)  Notwithstanding  subparagraph   (A)   of   this   paragraph,   an
      irrebuttable  presumption  of prejudice shall apply if, prior to notice,
      the insured's liability has been determined  by  a  court  of  competent
      jurisdiction  or  by binding arbitration; or if the insured has resolved
      the claim or suit by settlement or other compromise.
        (C) The insurer's rights shall not be  deemed  prejudiced  unless  the
      failure  to  timely provide notice materially impairs the ability of the
      insurer to investigate or defend the claim.
        (d)(1)(A) This paragraph applies with respect to  a  liability  policy
      that  provides coverage with respect to a claim arising out of the death
      or bodily injury of any person, where the  policy  is:  (i)  subject  to
      section  three  thousand four hundred twenty-five of this article, other
      than an excess liability or umbrella policy; or (ii) used to  satisfy  a
      financial responsibility requirement imposed by law or regulation.
        (B)  Upon  an  insurer's  receipt  of  a written request by an injured
      person who has filed a claim or by another claimant, an  insurer  shall,
      within  sixty days of receipt of the written request: (i) confirm to the
      injured person or other claimant in writing whether the  insured  had  a
      liability  insurance policy of the type specified in subparagraph (A) of
      this paragraph in effect with the insurer on the  date  of  the  alleged
      occurrence;  and  (ii)  specify  the  liability  insurance limits of the
      coverage provided under the policy.
        (C)  If  the  injured  person  or  other  claimant  fails  to  provide
      sufficient identifying information to allow the insurer, in the exercise
      of  reasonable  diligence, to identify a liability insurance policy that
      may be relevant to the claim, the insurer shall within  forty-five  days
      of receipt of the written request, so advise the injured person or other
      claimant  in  writing  and  identify  for  the  injured  person or other
      claimant the additional information needed. Within  forty-five  days  of
    
      receipt  of  the  additional  information, the insurer shall provide the
      information required under subparagraph (B) of this paragraph.
        (2)  If under a liability policy issued or delivered in this state, an
      insurer shall disclaim liability or deny coverage for  death  or  bodily
      injury  arising  out  of  a  motor vehicle accident or any other type of
      accident occurring within this state, it shall give  written  notice  as
      soon as is reasonably possible of such disclaimer of liability or denial
      of coverage to the insured and the injured person or any other claimant.
        (e) No policy or contract of personal injury liability insurance or of
      property damage liability insurance, covering liability arising from the
      ownership,  maintenance  or  operation  of  any  motor vehicle or of any
      vehicle as defined in section three hundred eighty-eight of the  vehicle
      and  traffic  law,  or  an aircraft, or any vessel as defined in section
      forty-eight of the navigation law, shall be issued or delivered in  this
      state  to  the  owner  thereof,  or  shall be issued or delivered by any
      authorized insurer upon any such vehicle  or  aircraft  or  vessel  then
      principally  garaged  or  principally  used  in  this  state,  unless it
      contains a provision insuring the named insured  against  liability  for
      death  or  injury  sustained,  or  loss  or damage occasioned within the
      coverage of the policy or contract, as a result  of  negligence  in  the
      operation  or  use  of such vehicle, aircraft or vessel, as the case may
      be, by any person operating or  using  the  same  with  the  permission,
      express or implied, of the named insured.
        (f)  (1)  No  policy  insuring  against  loss resulting from liability
      imposed by law for bodily injury or death suffered by any natural person
      arising out of the ownership, maintenance and use of a motor vehicle  by
      the  insured shall be issued or delivered by any authorized insurer upon
      any motor vehicle then principally garaged or principally used  in  this
      state  unless it contains a provision whereby the insurer agrees that it
      will pay to the insured, as defined in such provision,  subject  to  the
      terms  and conditions set forth therein to be prescribed by the board of
      directors of the Motor Vehicle Accident Indemnification Corporation  and
      approved by the superintendent, all sums, not exceeding a maximum amount
      or  limit  of  twenty-five  thousand  dollars  exclusive of interest and
      costs, on account of injury to and all sums,  not  exceeding  a  maximum
      amount  or  limit  of  fifty  thousand dollars exclusive of interest and
      costs, on account of death of one person, in any one accident,  and  the
      maximum  amount  or  limit,  subject to such limit for any one person so
      injured of fifty thousand dollars or so killed of one  hundred  thousand
      dollars,  exclusive  of  interest and costs, on account of injury to, or
      death of, more than one person in any one accident, which the insured or
      his legal representative shall be entitled to recover as damages from an
      owner or operator of an  uninsured  motor  vehicle,  unidentified  motor
      vehicle  which  leaves  the  scene  of  an  accident,  a  motor  vehicle
      registered in this state as to which at the time of the  accident  there
      was  not  in effect a policy of liability insurance, a stolen vehicle, a
      motor vehicle operated without permission of the owner, an insured motor
      vehicle where the insurer disclaims liability or denies coverage  or  an
      unregistered  vehicle  because  of  bodily  injury, sickness or disease,
      including death resulting therefrom, sustained by the insured, caused by
      accident occurring in this state  and  arising  out  of  the  ownership,
      maintenance  or  use  of such motor vehicle. No payment for non-economic
      loss shall be made under such  policy  provision  to  a  covered  person
      unless  such  person  has  incurred  a serious injury, as such terms are
      defined in section five thousand one hundred two of this  chapter.  Such
      policy  shall  not duplicate any element of basic economic loss provided
      for under article fifty-one of this chapter. No payments of first  party
      benefits  for  basic  economic  loss made pursuant to such article shall
    
      diminish the obligations of the insurer under this policy provision  for
      the  payment  of  non-economic loss and economic loss in excess of basic
      economic loss. Notwithstanding any inconsistent  provisions  of  section
      three thousand four hundred twenty-five of this article, any such policy
      which does not contain the aforesaid provisions shall be construed as if
      such provisions were embodied therein.
        (2)  (A)  Any  such  policy  shall, at the option of the insured, also
      provide supplementary  uninsured/underinsured  motorists  insurance  for
      bodily  injury, in an amount up to the bodily injury liability insurance
      limits of coverage provided under such policy, subject to a  maximum  of
      two  hundred fifty thousand dollars because of bodily injury to or death
      of one person in any one accident and, subject to  such  limit  for  one
      person,  up to five hundred thousand dollars because of bodily injury to
      or death of two or more persons in  any  one  accident,  or  a  combined
      single  limit  policy of five hundred thousand dollars because of bodily
      injury to or death of one or more persons in any one accident.  Provided
      however,  an  insurer  issuing  such  policy, in lieu of offering to the
      insured  the  coverages  stated   above,   may   provide   supplementary
      uninsured/underinsured  motorists  insurance  for  bodily  injury, in an
      amount up to the bodily injury liability insurance  limits  of  coverage
      provided under such policy, subject to a maximum of one hundred thousand
      dollars  because  of  bodily injury to or death of one person in any one
      accident and, subject to such limit for one person, up to three  hundred
      thousand  dollars  because  of  bodily injury to or death of two or more
      persons in any one accident, or a combined single limit policy of  three
      hundred  thousand dollars because of bodily injury to or death of one or
      more persons in any one accident, if such insurer also makes available a
      personal umbrella policy with liability coverage limits up to  at  least
      five   hundred   thousand  dollars  which  also  provides  coverage  for
      supplementary  uninsured/underinsured  motorists  claims.  Supplementary
      uninsured/underinsured  motorists  insurance  shall provide coverage, in
      any state or Canadian province, if the limits  of  liability  under  all
      bodily  injury  liability  bonds and insurance policies of another motor
      vehicle liable for damages are in a lesser amount than the bodily injury
      liability insurance limits of coverage provided  by  such  policy.  Upon
      written    request    by    any    insured   covered   by   supplemental
      uninsured/underinsured  motorists  insurance  or  his  duly   authorized
      representative  and  upon  disclosure  by  the  insured of the insured's
      bodily  injury   and   supplemental   uninsured/underinsured   motorists
      insurance coverage limits, the insurer of any other owner or operator of
      another motor vehicle against which a claim has been made for damages to
      the  insured  shall disclose, within forty-five days of the request, the
      bodily injury liability insurance limits of its coverage provided  under
      the policy or all bodily injury liability bonds. The time of the insured
      to  make  any supplementary uninsured/underinsured motorist claim, shall
      be tolled during the period the insurer of any other owner  or  operator
      of  another motor vehicle that may be liable for damages to the insured,
      fails to so disclose its coverage.  As  a  condition  precedent  to  the
      obligation   of   the   insurer   to   pay   under   the   supplementary
      uninsured/underinsured  motorists  insurance  coverage,  the  limits  of
      liability  of  all  bodily  injury liability bonds or insurance policies
      applicable at the time of the accident shall be exhausted by payment  of
      judgments or settlements.
        (B)  In  addition to the notice provided, upon issuance of a policy of
      motor vehicle liability insurance pursuant to regulations promulgated by
      the superintendent, insurers shall notify insureds, in writing,  of  the
      availability of supplementary uninsured/underinsured motorists coverage.
      Such   notification   shall  contain  an  explanation  of  supplementary
    
      uninsured/underinsured motorists coverage and the amounts  in  which  it
      can  be purchased. Subsequently, a notification of availability shall be
      provided at least  once  a  year  and  may  be  simplified  pursuant  to
      regulations  promulgated  by  the  superintendent,  but  must  include a
      concise statement that  supplementary  uninsured/underinsured  motorists
      coverage is available, an explanation of such coverage, and the coverage
      limits that can be purchased from the insurer.
        (3)  The protection provided by this subsection shall not apply to any
      cause of action by an insured person arising  out  of  a  motor  vehicle
      accident  occurring  in  this  state  against a person whose identity is
      unascertainable, unless the bodily injury to the  insured  person  arose
      out of physical contact of the motor vehicle causing the injury with the
      insured  person  or  with  a  motor vehicle which the insured person was
      occupying (meaning in or upon or entering into or alighting from) at the
      time of the accident.
        (4) An insurer shall give notice to the commissioner of motor vehicles
      of the entry of any judgment upon which a claim  is  made  against  such
      insurer  under  this  subsection and of the payment or settlement of any
      claim by the insurer.
        (g) No policy or contract  shall  be  deemed  to  insure  against  any
      liability  of  an  insured because of death of or injuries to his or her
      spouse or because of injury to, or destruction of property of his or her
      spouse  unless  express  provision  relating  specifically  thereto   is
      included  in  the  policy  as provided in paragraphs one and two of this
      subsection. This exclusion shall apply only where the injured spouse, to
      be entitled to recover, must prove the culpable conduct of  the  insured
      spouse.
        (1)  Upon  written  request  of  an  insured,  and  upon  payment of a
      reasonable premium established in accordance with  article  twenty-three
      of  this  chapter,  an  insurer  issuing  or  delivering any policy that
      satisfies the requirements of article six of the vehicle and traffic law
      shall provide coverage against liability of an insured because of  death
      of or injuries to his or her spouse up to the liability insurance limits
      provided under such policy even where the injured spouse, to be entitled
      to  recover, must prove the culpable conduct of the insured spouse. Such
      insurance coverage shall be known  as  "supplemental  spousal  liability
      insurance".
        (2)  Upon  issuance of a motor vehicle liability policy that satisfies
      the requirements of article six of the vehicle and traffic law and  that
      becomes  effective  on  or  after  January  first,  two  thousand three,
      pursuant to regulations promulgated by the superintendent,  the  insurer
      shall   notify   the   insured,  in  writing,  of  the  availability  of
      supplemental spousal liability insurance.  Such  notification  shall  be
      contained  on  the  front  of  the  premium  notice in boldface type and
      include a concise  statement  that  supplementary  spousal  coverage  is
      available,  an  explanation  of such coverage, and the insurer's premium
      for such coverage. Subsequently, a notification of the  availability  of
      supplementary spousal liability coverage shall be provided at least once
      a  year  in  motor vehicle liability policies issued pursuant to article
      six of the vehicle and traffic law, including  those  originally  issued
      prior  to  January first, two thousand three. Such notice must include a
      concise statement that supplementary spousal coverage is  available,  an
      explanation  of  such  coverage,  and  the  insurer's  premium  for such
      coverage.
        (h) In this section, the term "insurance upon  any  property  or  risk
      located  in  this  state"  includes  insurance  against  legal liability
      arising out of the ownership, operation or maintenance  of  any  vehicle
      which  is  principally  garaged  or  principally  used in this state, or
    
      arising out of the ownership,  operation,  use  or  maintenance  of  any
      property which is principally kept or principally used in this state, or
      arising  out  of  any  other activity which is principally carried on in
      this state.
        (i)  Except  as  provided  in  subsection  (j)  of  this  section, the
      provisions of this section shall not apply to any policy or contract  of
      insurance  in  so  far  as  it  covers  the liability of an employer for
      workers' compensation, if such contract is governed by the provisions of
      section fifty-four of the workers' compensation law, or by  any  similar
      law  of  another  state,  province  or  country,  nor  to  the  kinds of
      insurances set forth in paragraph three of subsection (b) of section two
      thousand one hundred seventeen of this chapter.
        (j) (1) Notwithstanding any other provision of  this  chapter  or  any
      other law to the contrary, every policy providing comprehensive personal
      liability  insurance  on a one, two, three or four family owner-occupied
      dwelling, issued or delivered in this state on and after  the  first  of
      March,   nineteen   eighty-four,  shall  provide  for  coverage  against
      liability for the payment of any obligation, which the policyholder  may
      incur pursuant to the provisions of the workers' compensation law, to an
      employee  arising  out  of  and in the course of employment of less than
      forty hours per week, in and about such residences of  the  policyholder
      in  this  state.  Such  coverage  shall  provide for the benefits in the
      standard workers' compensation policy issued in this state. No  one  who
      purchases  a policy providing comprehensive personal liability insurance
      shall be deemed to have elected to cover under the workers' compensation
      law any employee who is not required, under the provisions of such  law,
      to be covered.
        (2)  The  term  "policyholder"  as  used  in  this subsection shall be
      limited to an individual or individuals as defined by the terms  of  the
      policy, but shall not include corporate or other business entities or an
      individual  who  has  or  individuals  who  have  in  effect  a workers'
      compensation policy which covers employees working in and about  his  or
      their residence.
        (3)  Every  insurer  who  is  licensed  by the superintendent to issue
      homeowners or other policies providing comprehensive personal  liability
      insurance  in this state shall also be deemed to be licensed to transact
      workers' compensation  insurance  for  the  purpose  of  covering  those
      persons specified in this subsection.