{"id":352530,"date":"2017-03-07T13:51:29","date_gmt":"2017-03-07T18:51:29","guid":{"rendered":"https:\/\/content.findlaw-admin.com\/ability-law\/consumer\/credit-banking-finance\/bad-faith-insurance-claims-denials-overview.html"},"modified":"2024-02-28T09:17:08","modified_gmt":"2024-02-28T14:17:08","slug":"bad-faith-insurance-claims-denials-overview","status":"publish","type":"page","link":"https:\/\/www.findlaw.com\/consumer\/credit-banking-finance\/bad-faith-insurance-claims-denials-overview.html","title":{"rendered":"Bad Faith Insurance Claims Denials Overview"},"content":{"rendered":"\n<div class=\"wp-container-core-columns-is-layout-9d6595d7 fl-sectionWithSidebar fl-container fl-flex fl-flex-wrap fl-gap30\">\n    \n    <div class=\"fl-page-articles fl-section-main fl-section-main-full-width\">\n        <h1 class=\"fl-no-margin-top\">Bad Faith Insurance Claims Denials Overview<\/h1>\n<section class=\"fl-gutenberg-byline\">\n    <div class=\"fl-gutenberg-byline-content\">\n                    By <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/olivia-wathne-jd\/\">Olivia Wathne, J.D.<\/a> | Legally reviewed by <a\n                href=\"https:\/\/www.findlaw.com\/company\/our-team\/melissa-bender-esq\/\">Melissa Bender, Esq.<\/a>\n                | Last updated\n        <time>\n                            February 28, 2024\n                    <\/time>\n    <\/div>\n\n    \n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-legally-reviewed\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Legally Reviewed\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>This article has been written and reviewed for legal accuracy, clarity, and style by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw\u2019s team of legal writers and attorneys<\/a> and in accordance with <a href=\"https:\/\/www.findlaw.com\/company\/company-history\/editorial-policy.html\">our editorial standards<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n\n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-fast-checked\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Fact-Checked\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>The last updated date refers to the last time this article was reviewed by FindLaw or one of our <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/contributing-authors.html\">contributing authors<\/a>. We make every effort to keep our articles updated. For information regarding a specific legal issue affecting you, please <a href=\"https:\/\/lawyers.findlaw.com\/?fli=bylinelink\" target=\"_blank\" rel=\"noopener\">contact an attorney in your area<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n<\/section>\n<p>The reason you pay for an insurance policy is an attempt to manage risk.&nbsp;Normally, that&#8217;s exactly what happens. However, some unscrupulous insurers will drum up an excuse not to pay. This is referred to as a bad faith insurance claim denial.&nbsp;<\/p>\r\n<p>The following article provides an overview of the&nbsp;<a href=\"https:\/\/www.findlaw.com\/consumer\/insurance\/insurance-company-bad-faith-tactics-and-examples.html\">issues that frequently arise in bad faith insurance claim denial cases.<\/a><\/p>\r\n<h2>What Is Bad Faith Insurance?<\/h2>\r\n<p>Bad faith insurance refers to the wrongful actions of an insurance company towards its policyholder. There is a duty of good faith inherent in every insurance contract. Under bad faith law, insurers are obligated to handle claims fairly, honestly, and promptly.&nbsp;<\/p>\r\n<p>When an insurance company unreasonably denies a legitimate claim or engages in misrepresentation, it may be deemed to have acted in bad faith. Policyholders have the right to file insurance bad faith claims. They can seek compensation for the initial claim and potential punitive damages as a deterrent.&nbsp;<\/p>\r\n<p>This applies to various types of insurance, including health, auto, and homeowners insurance. It&#8217;s important that policyholders are aware of their rights and hold insurers accountable for&nbsp;<a href=\"https:\/\/www.floridabar.org\/the-florida-bar-journal\/the-good-faith-bad-faith-and-ugly-set-up-of-insurance-claims-settlement\/\" target=\"_blank\" rel=\"noopener\">bad faith claim handling practices<\/a>.<\/p>\r\n<h2>Good Faith and Fair Dealing<\/h2>\r\n<p>Insurance is a form of&nbsp;<a href=\"https:\/\/www.findlaw.com\/smallbusiness\/business-contracts-forms\/contract-law.html\">contract<\/a>. The insured exchanges the payment of premiums for the insurer&#8217;s promise that they will pay compensation for legitimate claims. As with other contracts, insurance agreements include duties between the parties. Among these duties is the implied covenant of&nbsp;<a href=\"https:\/\/dictionary.findlaw.com\/definition\/good-faith.html\" target=\"_blank\" rel=\"noopener\">good faith<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/dictionary.findlaw.com\/definition\/fair-dealing.html\" target=\"_blank\" rel=\"noopener\">fair dealing<\/a>.<\/p>\r\n<p>The implied covenant of good faith and fair dealing is the expectation that parties to a contract will deal with one another in an honest manner. It is also the expectation that a party will not seek to frustrate the other party&#8217;s ability to receive the benefits sought in the contract.<\/p>\r\n<p>A lawsuit arising from a bad faith insurance claim denial is based upon the insured&#8217;s complaint that the insurer is unfairly seeking to avoid their obligations under the agreement. This is usually through deceit or by using technical excuses for their&nbsp;<a href=\"https:\/\/www.findlaw.com\/smallbusiness\/business-contracts-forms\/breach-of-contract-and-lawsuits.html\">breach of the agreement<\/a>.<\/p>\r\n<p>Breach of the implied covenant of good faith and fair dealing normally creates a common-law tort&nbsp;<a href=\"https:\/\/dictionary.findlaw.com\/definition\/cause-of-action.html\" target=\"_blank\" rel=\"noopener\">cause of action<\/a>. However, some states have enacted laws that limit or remove the availability of this cause of action.<\/p>\r\n<h2>First-Party Bad Faith Insurance Denials<\/h2>\r\n<p>First-party bad faith insurance denial occurs when:<\/p>\r\n<ul>\r\n<li>The insurer refuses to pay a claim without a reasonable basis<\/li>\r\n<li>The insurer fails to properly investigate the claim within a&nbsp;<a href=\"https:\/\/dictionary.findlaw.com\/definition\/reasonable.html\" target=\"_blank\" rel=\"noopener\">reasonable<\/a>&nbsp;amount of time<\/li>\r\n<\/ul>\r\n<p>First-party bad faith insurance denials could include situations where the insurer:<\/p>\r\n<ul>\r\n<li>Ignores or refuses to pay a legitimate claim<\/li>\r\n<li>Attempts to underpay a legitimate claim<\/li>\r\n<li>Unreasonably delays or improperly investigates the claim<\/li>\r\n<li>Makes a false assertion to deny coverage<\/li>\r\n<\/ul>\r\n<h2>Third-Party Bad Faith Insurance Denials<\/h2>\r\n<p>State interpretations of the insurer&#8217;s duty to defend against third-party claims differ significantly. However, there are some common forms of third-party bad-faith insurance denials relating to this duty. There&#8217;s also a related duty of&nbsp;<a href=\"https:\/\/dictionary.findlaw.com\/definition\/indemnification.html\" target=\"_blank\" rel=\"noopener\">indemnification<\/a>. Indemnification refers to the duty of the insurer to defend the insured in court proceedings.<\/p>\r\n<p>Third-party bad faith insurance denial occurs when the insurer fails to meet their obligation to defend and pay all defense costs when the lawsuit&#8217;s demands exceed the amount covered by the policy. An exception exists where the insurance policy is a &quot;burning limits&quot; or &quot;defense within limits&quot; policy. This is when the policy includes the cost of legal defense in the policy&#8217;s limit of liability.<\/p>\r\n<p>When&nbsp;a settlement amounts to the policy limit, an insurer may be tempted to go to court. If they win, they don&#8217;t have to pay. If they lose, the judgment could be greater than the policy limit. This means that the lawsuit would expose the insured to a risk they wouldn&#8217;t face if the company settled. In this situation, some jurisdictions find that an insurer&#8217;s unwillingness to settle is a breach of their duties to the insured.<\/p>\r\n<p>Finally, third-party bad faith insurance denial can occur where the insurer fails to fulfill their duty of indemnification. This is when the insurer fails to pay a final court&nbsp;<a href=\"https:\/\/dictionary.findlaw.com\/definition\/judgment.html\" target=\"_blank\" rel=\"noopener\">judgment<\/a>&nbsp;or settlement covered by the policy.<\/p>\r\n<h2>Get Legal Assistance With a Bad Faith Insurance Claim Denial<\/h2>\r\n<p>Your insurance company was hired to protect your interests. When they act in bad faith and&nbsp;refuse to cover a personal injury, who can you turn to? If an insurer has made a bad faith insurance claim denial,&nbsp;<a href=\"https:\/\/www.findlaw.com\/consumer\/insurance\/do-i-need-a-bad-faith-insurance-lawyer.html\">a lawyer can greatly assist your efforts<\/a>&nbsp;to get them to do the right thing. Contact the law office of a&nbsp;<a href=\"https:\/\/lawyers.findlaw.com\/bad-faith-insurance\/?fli=dcta\" target=\"_blank\" rel=\"noopener\">bad faith insurance lawyer<\/a>&nbsp;to discuss your case and learn more about how they can help.<\/p>\r\n<div class=\"was-this-helpful\">\n    <div\n            class=\"was-this-helpful__question-container\"\n            aria-labelledby=\"was-this-helpful__question\"\n            role=\"group\"\n    >\n        <span\n                id=\"was-this-helpful__question\"\n                class=\"was-this-helpful__question fl-text-lg-bold\"\n        >Was this helpful?<\/span>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"Yes\"\n                value=\"yes\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">Yes<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" 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19.236 12.01 18.67 12H16M9.00003 14V18C9.00003 18.7956 9.3161 19.5587 9.87871 20.1213C10.4413 20.6839 11.2044 21 12 21L16 12V0.999995H4.72003C4.2377 0.994543 3.76965 1.16359 3.40212 1.47599C3.0346 1.78839 2.79235 2.22309 2.72003 2.7L1.34003 11.7C1.29652 11.9866 1.31586 12.2793 1.39669 12.5577C1.47753 12.8362 1.61793 13.0937 1.80817 13.3125C1.99842 13.5313 2.23395 13.7061 2.49846 13.8248C2.76297 13.9435 3.05012 14.0033 3.34003 14H9.00003Z\"\n                              stroke=\"#666666\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n                    <\/g>\n                    <defs>\n                        <clipPath id=\"clip0_604_3423\">\n                            <rect width=\"22\" height=\"22\" fill=\"white\"\/>\n                        <\/clipPath>\n                    <\/defs>\n                <\/svg>\n            <\/i>\n        <\/button>\n    <\/div>\n    <span class=\"was-this-helpful__taken-action fl-text-sm-bold\"><\/span>\n    <div 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<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Your insurance company is supposed to be there for you in your time of need, but sometimes they engage in bad faith claims denials. 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