February 18, 2019

The Supreme Court of New York, Appellate Division, has overturned the decision of the motion court to dismiss a consequential damages claim when the plaintiff fulfilled the pleading requirement by specifying the types of consequential damages claimed and alleging that such damages were reasonably contemplated by both parties prior to entering into the contract. The case is D.K. Prop. Inc. v. Nat'l. Union Fire Ins. Co. of Pittsburgh, Pa., 2019 NY Slip Op 00347 (App. Div.)

Here, D.K. Property, Inc. (D.K. Property) owned a building in Manhattan that was damaged by a neighboring construction project in or around October of 2014. D.K. Property alleged that the rear wall of the neighboring building provided lateral support to the east exterior wall of their building, and when that wall was demolished the building owned by D.K. Property suffered structural movement and damage. D.K. Property had an insurance policy through National Union Fire Insurance Company of Pittsburgh, Pa. (National Union). According to the amended complaint, National Union did not pay the claim, and also failed to disclaim coverage, despite having a consultants' agreement with the insured regarding the cause of loss, but while still making unreasonable and burdensome information demands throughout the three years since the property was damaged. Particularly, D.K. Property claimed that the property damage had worsened over the course of the extended investigation.

D.K. Property asserted causes of action due to a breach of the contract for failure to pay a claim and breach of the implied covenant of good faith and fair dealing, seeking consequential damages and attorney's fees, along with other alleged damages, due to the allegation of bad faith. National Union moved to dismiss the demand for consequential damages, arguing that D.K. Property failed to meet the heightened pleading standard. The lower court agreed and dismissed D.K. Property's claims for consequential damages.

On appeal, the Supreme Court of New York, Appellate Division discussed that under New York law in order for an insured to seek consequential damages for an insurer's failure to provide coverage, the damage that occurred must have been foreseen or should have been foreseen when the contract was drafted. The court explained that it was inappropriate for the only question on the motion to dismiss was whether the plaintiff had stated a claim for consequential damages because determining the outcome is based on a fully developed factual record. The court found that the allegations were enough to survive the motion to dismiss, and clarified that there is no heightened pleading standard requiring the insured to explain or describe how and why the specific categories of consequential damages alleged were reasonable and foreseeable when the contract was drafted.

Editors Note: In order to make a determination of whether or not the consequential damages were foreseen or could have been foreseen, the fully developed record would have to be reviewed. Although the court decided that D.K. Property had enough to claim consequential damages at the pleading stage, there was little clarification to the level of proof that D.K. Property would need to win on this claim at trial. While this decision might help these types of claims get to trial, there is still a very high standard to prove in order for a plaintiff to prove they are entitled to consequential damages at trial. Policyholders should take the potential recovery of consequential damages into consideration when analyzing claim resolution.

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