Late Notice and the Prejudice Requirement
Date Posted
Prejudice Requirements When Issuing a Coverage Denial Based Upon Late Notice
Most “occurrence” based insurance policies require policyholders to provide notice of a claim “as soon as practicable,” or within a “reasonable” amount of time as a condition of coverage. When notice is considered untimely, coverage may be denied on such basis. In many jurisdictions, however, insurers are precluded from avoiding coverage solely on the basis of an insured’s late notice, except under circumstances where the insurer has been prejudiced by such late notice. This is referred to as a “notice-prejudice” rule. The majority of states apply some form of “notice prejudice” standard to occurrence-based policies, with some placing the burden on the insurer to show that it has been prejudiced, and others requiring the insured to prove that the insurer was not. Some states, however, view timely notice as a core requirement of coverage and consider the coverage to be void if notice is late, even when the insurer has suffered no prejudice.
This survey is intended to examine prejudice requirements imposed upon insurance companies when asserting late notice as a defense to “occurrence”* based coverage across the 50 states and Washington, D.C.
The map on the following page identifies how each state has assessed an insurer’s prejudice requirements in late notice disputes. Dark blue signals highest state court authority is favorable to policyholders, i.e., the notice-prejudice rule applies. Dark red signals the state’s highest state court authority is unfavorable to policyholders, i.e., the notice-prejudice rule does not apply. Light colors apply where the highest court has not addressed the issue or where the highest court has adopted a standard that evaluates late notice upon a number of factors including prejudice. Light blue signals that a notice-prejudice rule has been adopted by the state’s highest court and/or by state statute, but with certain exceptions. Pink signals that either
- 1) the state’s highest court rejects a notice-prejudice standard but does hold that prejudice is among a series of factors to be examined when evaluating whether an insured’s late notice is excusable, or
- 2) there is no state appellate authority, but federal authority or lower state court authority is unfavorable to policyholders. Yellow indicates that either
- 1) there is a split of authority among the courts as to whether a prejudice standard applies, or
- 2) a different standard applies to primary and excess policies.
*This survey only pertains to “occurrence” based policies; it does not assess whether a notice-prejudice rule applies to “claims-made” policies. Unlike “occurrence” policies, most jurisdictions consider proper notice under claims made insurance policies to be a condition precedent to triggering the coverage. Thus as to such policies, it is widely viewed that prejudice is not a factor.