Voss v. CH Insurance Brokerage Services, Co., Inc., 21 N.Y.3d 719 (2013)
An insurance broker has a duty to advise a client on adequate coverage beyond a client’s specific request if a ‘special relationship’ exists, determined on a case-by-case basis.
Summary
Deborah Voss and her businesses sued CH Insurance Brokerage Services (CHI), alleging CHI negligently secured inadequate business interruption insurance. Voss claimed a ‘special relationship’ existed with CHI, creating a duty to advise on adequate coverage. The New York Court of Appeals held that CHI failed to prove the absence of a ‘special relationship,’ reversing the lower court’s summary judgment for CHI. The court emphasized that whether a special relationship exists is fact-dependent. Awareness of policy limits by the insured does not negate a broker’s potential negligence when a special relationship exists. Proximate cause is generally a fact question for the jury.
Facts
Voss began using CHI in 2004 for insurance. CHI’s representative, Convertino, discussed property, liability, and business interruption coverage, requesting sales data to calculate appropriate coverage. Convertino recommended a $75,000 business interruption limit, assuring Voss it was adequate and promising annual reviews as her business grew. In 2006, Voss moved her business to a larger location and opened new businesses. CHI renewed the policy with the same limit. In 2007 and 2008, the roof leaked multiple times, disrupting business. The business interruption coverage proved insufficient, and Voss sued CHI, alleging negligence in securing inadequate coverage, based on a special relationship.
Procedural History
The Supreme Court granted CHI’s motion for summary judgment, dismissing the complaint. The Appellate Division affirmed, disagreeing with the Supreme Court on the special relationship issue but agreeing with the other rationales for dismissal. The Court of Appeals granted leave to appeal and reversed the Appellate Division’s order, denying CHI’s motion for summary judgment.
Issue(s)
Whether CHI, as the moving party for summary judgment, met its initial burden of demonstrating the absence of a material issue of fact regarding the existence of a ‘special relationship’ with Voss, thus obligating it to advise on adequate business interruption coverage beyond any specific request.
Holding
No, because CHI’s proof did not establish the absence of a material issue of fact regarding a special relationship; thus, summary judgment was inappropriate. The Court of Appeals also held that Voss’s awareness of the policy limits did not negate CHI’s potential negligence and that proximate cause was a question for the factfinder.
Court’s Reasoning
The Court of Appeals reasoned that insurance brokers have a general duty to obtain requested coverage or inform the client of their inability to do so, but no continuing duty to advise on additional coverage. However, a ‘special relationship’ can create an additional duty of advisement. Citing Murphy v. Kuhn, the court outlined three situations that might give rise to a special relationship: (1) compensation for consultation apart from premiums, (2) interaction regarding coverage with insured reliance on agent expertise, or (3) a course of dealing that would objectively put agents on notice that their advice was being sought and relied on. Here, Voss’s testimony indicated that Convertino requested sales figures to calculate proper coverage and assured her the $75,000 limit was adequate. He repeatedly pledged annual coverage reviews. The court emphasized that special relationships are the exception, not the norm, and plaintiffs bear the burden of proving its existence and reliance on the broker’s expertise. The court found that Voss’s awareness of the policy limits was irrelevant because the claim was that CHI negligently failed to recommend higher limits. The court also found the issue of proximate cause was one best left to the jury. As such, the Court reversed the order granting summary judgment in favor of the defendant, CHI.