Bad Faith - Insurance Ms. Haas can assist clients in finding all available insurance coverage,
and the latest insurance law and techniques of persuasion when dealing
with insurance misconduct. Insurance bad faith is when an insurance company fails to investigate a claim in a reasonable manner, unreasonably denies or delays payment of valid claims, fails to defend an insured from a lawsuit, undervalues or underpays a claim, unfairly refuses to settle, or has an unreasonable claims process. Notable Cases Insured Denied Disability -- A police detective purchased a disability insurance policy which provided benefits if he became totally disabled in his occupation. He was later injured in the line of duty, receiving a concussion to the head, knee injury, and back and lower lumbar injury. Four years later he was still being treated for the knee injury and for vertigo or dizziness, and unable to continue working as a police detective. The insurer paid benefits for twenty-four months, then stopped paying. The detective filed suit and a jury heard the case. In closing argument, the insurer argued the detective could earn at least as much as he was making as a police officer, and possibly more, as a real estate agent. The jury found for the detective. The insurer appealed, arguing the evidence was insufficient. The appellate court ruled there was sufficient evidence for the jury to find the detective totally disabled under the policy's definition, and that the twenty-four months of payments amounted to an acquiesence to his disability. The insurance company paid. Medical Insurance -- Medical Insured won "take it to the mat" battle in trial court, and was paid. Insurer ordered to pay plaintiff’s attorney’s fees and costs in amount of $121,529, appealed. Appeals court affirmed final judgment against insurer. Insurer paid. Subrogation -- Excess liability carrier sought reimbursement from primary liability carrier, won $651,569 final summary judgment. On appeal, affirmed in part, reversed in part. Declaratory Action -- Insurer sued after settling with both companies' insured. Trial court dismissed case for failure to state cause of action. Insurer appealed, dismissal affirmed. Failed Tender of Policy -- Catastrophically injured jockey won $10,000,000 jury verdict and judgment against race track. During appeal that excess insurer was handling, primary insurer offered check for policy limits, but without interest accrued. The excess insurer sued the primary insurer, obtaining summary judgment ruling that because the primary insurer failed to effect valid tender of the policy limits, in correct amount and without conditions, it bore entire $8,000,000 burden of interest accrued during appeal. | Types of ClaimsFirst Party Claims Coverage Subrogation Third Party Claims Bad Faith Types of Insurance Disability Medical Liability PIP/UM Auto Property Business Life ![]() |