Claims beyond the policy limits, and the conduct that supports them.
Esshaki Legal Media TeamCurrent as of March 2022
An insurer that handles a claim unreasonably may be liable beyond the policy
limits.
First-party bad faith. Unreasonable delay or denial of a claim by the
insured’s own insurer. Standards vary from a fairly debatable test, protecting
insurers where a genuine dispute exists, to a broader reasonableness standard.
Third-party bad faith. The more significant exposure. An insurer that
unreasonably refuses to settle within limits, exposing the insured to an excess
judgment, may be liable for the entire judgment. The insured’s assignment of
that claim to the plaintiff, combined with a covenant not to execute, is the
standard mechanism by which these claims reach court.
Setting up bad faith. Time-limited demands within limits, with the
information the insurer needs to evaluate. Insurers respond with documented
evaluations and prompt communication with the insured about exposure above
limits.
Duty to inform. The insurer must advise the insured of settlement demands
and of exposure beyond limits, and give the insured the opportunity to
contribute.
Remedies. The excess judgment, consequential damages, emotional distress in
some states, punitive damages, and attorney fees where a statute provides.
Statutory claims practices acts with their own standards and remedies.