Most people know that an insurance policy is a type of contract. However
many people do not know that there are special rules that apply to
insurance policies which do not apply to other contracts. An insurance
company has a duty of good faith to its policy holders. This duty of
good faith means that an insurance company has to deal with all claims
fairly. The duty to act fairly applies both to the manner in which the
insurance company investigates and assesses the claim and to the
decision whether or not to pay the claim.
An insurance company must
evaluate the strengths and weaknesses of the claim in a balanced and
reasonable manner. It must not deny coverage or delay payment in order
to take advantage of the policy holder’s financial situation or to gain
bargaining power in negotiating a settlement. A decision by an
insurance company to refuse payment should be based on a reasonable
interpretation of its obligations under the policy. This duty of
fairness, however, does not require that an insurance company be correct
in making a decision to dispute its obligation to pay a claim. A
simple denial of a claim that ultimately succeeds is not necessarily an
act of bad faith.
If you can prove that an insurance company acted in
bad faith when adjusting a claim the courts will award additional
damages. This area of the law is complex. If you have had a claim denied
by your insurer and are concerned about issues of bad faith please
contact an experienced insurance lawyer to preserve your rights.
Source: oatleyvigmond.com Posted on November 8, 2013 by Ryan Murray
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