Denying Payments Without Reasonable Basis01
Insurance companies legally cannot deny claims that are detailed by a policy. While situations are dependent on your coverage and the wording of documentation, a denial may qualify as an insurance provider acting in bad faith.
Discounting Payments Without Reasonable Basis02
Insurance companies often offer less money than a claim is worth to increase their profit margin. When this doesn’t cover all your damages, despite paying enough for reasonable coverage within your policy, legal action may be necessary.
Delaying Payments Without Reasonable Basis03
Policyholders have a right to receive payment in a timely manner. In order to deter policyholders from pursuing compensation, insurance companies will delay both the payment and the process for achieving it. This can impose great financial hardships upon those who need promised benefits immediately.
Failing to Affirm/Deny Coverage Within Reasonable Time04
Insurance companies take an unreasonable amount of time to investigate a claim before agreeing to or denying payout. Much like payment delays, this is done in hopes of persuading policyholders to give up pursuit of compensation and increase insurance company profit margins.
Failing to Conduct Investigations05
Insurance companies must operate under the good faith concept of investigating claims that require compensation quickly and thoroughly. Avoiding investigation often means avoiding payment, which is illegal and immoral.
Misrepresenting Law or Policy Language06
Misrepresenting law or policy language includes failure to disclose the existence of coverage that may be under your plan in order to avoid paying you. Failing to disclose claim filing deadlines and not providing the paperwork necessary are also included.
What does good faith mean in insurance?
Good faith is an implied duty of acting in a policyholder’s best interest and engaging in fair dealing. More specifically, the action of conducting prompt and thorough investigations and payments in response to a policyholder’s claim is expected.
How do I file a bad faith claim against an insurance company?
First and foremost, review any insurance contracts held with the insurance company to reaffirm that misconduct has occurred. Keep logs of any claims made as well as any insurance provider responses, including delays or denials. Bring all documents to an attorney, and we’ll help initiate a lawsuit.
What types of damages are available in bad faith insurance lawsuits?
Payouts for bad faith insurance lawsuits may include the amount expected from the original claim and attorney fees. Additional compensation for financial harm that resulted from the bad faith delay or denial is also applicable, including lost wages or compensatory damages.
Can I sue an insurance company for not paying?
As long as your plan states applicable coverage and the claim does not violate the terms and conditions of said contractual agreement, yes. There is no reason why your policy provider should not pay you, and pay you a reasonable amount given the damage severity.