82 N.Y.2d 954 (1994)
An insured’s failure to provide timely notice of a potential claim to its insurer, absent a reasonable excuse, constitutes a failure to satisfy a condition precedent to coverage, and knowledge of an incident by an agent of the insured is imputed to the insured.
Summary
The New York Court of Appeals addressed whether the knowledge of a New York City Housing Authority (NYCHA) police officer regarding a playground accident should be imputed to NYCHA, and whether NYCHA provided timely notice to its insurer, Empire Fire and Marine Insurance Company, regarding a potential claim. Ten years after a child was injured on a NYCHA playground, the child’s mother sought to file a late notice of claim. NYCHA then notified Empire, who disclaimed coverage due to late notice. The Court of Appeals held that the knowledge of the Housing Authority Police Officer was imputed to NYCHA, and NYCHA failed to provide timely notice to Empire, thus failing to satisfy a condition precedent to coverage. The seriousness of the injury should have prompted further inquiry.
Facts
In 1975, a three-year-old girl fell and was injured at a playground owned and maintained by NYCHA. A Housing Authority Police Officer investigated the incident and filed an incident report. The officer retained one copy at the precinct and forwarded two copies to superiors within the Housing Police Department. No other NYCHA personnel were notified of the incident at that time.
Procedural History
Ten years later, in 1985, the injured girl’s mother was granted permission to file a late notice of claim against NYCHA. NYCHA then notified Empire, its insurance carrier, who disclaimed coverage citing a failure to provide notice “as soon as practicable,” as required by the policy. NYCHA sued Empire seeking a declaratory judgment that coverage existed. The Supreme Court initially refused to impute the knowledge of the Housing Police to NYCHA. The Appellate Division reversed, and the Court of Appeals affirmed the Appellate Division’s decision.
Issue(s)
Whether the knowledge of the Housing Authority Police Officer regarding the playground incident should be imputed to NYCHA.
Whether NYCHA provided timely notice to Empire, its insurance carrier, regarding the potential claim.
Holding
Yes, because the Housing Authority Police had a system for reporting injury-causing incidents, and the officer completed and filed a report regarding the incident to his employer.
No, because NYCHA failed to proffer a reasonable excuse for its delay in reporting the occurrence to Empire, thus failing to satisfy the condition precedent to coverage.
Court’s Reasoning
The court reasoned that providing notice to an insurer “as soon as practicable” is a condition precedent to coverage. While a lack of knowledge or a reasonable belief in nonliability can excuse a delay, the insured bears the burden of proving the reasonableness of the excuse. The court found that Empire successfully argued that the knowledge of the Housing Authority Police Officer should be imputed to NYCHA. The court emphasized that the Housing Authority Police had a system for reporting injury-causing incidents, and the officer completed and filed a report regarding the incident. The court stated, “Under these circumstances, we conclude that NYCHA cannot deny knowledge of the incident at the time it occurred.”
NYCHA further argued that its late notice should be excused by its good-faith belief that the incident would not result in liability. The court rejected this argument, stating that “where a reasonable person could envision liability, that person has a duty to make some inquiry.” The court pointed out that the seriousness of the injury, coupled with the lack of adult supervision, warranted further inquiry. Because NYCHA presented no evidence of further inquiry, the court rejected NYCHA’s claim of a reasonable belief of nonliability and concluded that NYCHA failed to provide a reasonable excuse for its delay in reporting the occurrence to Empire. Thus, NYCHA failed to satisfy the condition precedent to coverage.