Texas law requires insurance companies to handle claims fairly and in good faith. When insurers fail in this duty, policyholders may have grounds for a bad faith insurance claim. This blog aims to provide a comprehensive understanding of bad faith insurance claims in Texas.
What Constitutes a Bad Faith Insurance Claim in Texas?
A bad faith insurance claim arises when an insurer unreasonably denies or delays a claim without a valid basis. Texas law recognizes two types of bad faith claims: common law and statutory.
- Common Law Bad Faith: This occurs when an insurer denies or delays payment of a claim when liability is reasonably clear. The insurer must have no teasonable basis for the denial or delay and should have known that fact. This is supported by cases like Martinka v. Commonwealth Land Title Ins. Co. (836 S.W.2d 773) and Aetna Casualty & Sur. Co. v. Garza (906 S.W.2d 543).
- Statutory Bad Faith: Under Chapter 541 of the Texas Insurance Code, insurers are prohibited from engaging in unfair or deceptive acts or practices. This includes misrepresenting policy terms, failing to promptly acknowledge communications, and not attempting in good faith to effectuate prompt, fair, and equitable settlements when liability is clear.
Common Scenarios of Bad Faith
Policyholders may encounter bad faith in various forms, including:
- Unjustified Denial of Coverage: An insurer denies a valid claim without a reasonable basis.
- Unreasonable Delays: The insurer delays processing or paying a claim without justification.
- Inadequate Investigation: The insurer fails to conduct a thorough investigation before denying a claim.
- Misrepresentation of Policy Terms: The insurer provides false or misleading information about policy coverage.
Legal Remedies Available to Policyholders
Policyholders who believe their insurer has acted in bad faith have several legal remedies:
- Actual Damages: Compensation for financial losses resulting from the insurer’s actions.
- Exemplary Damages: In cases of knowing or intentional misconduct, courts may award damages beyond actual losses to punish the insurer.
- Attorney’s Fees and Court Costs: Successful claimants may recover legal expenses incurred during litigation.
The Importance of Legal Representation
Navigating a bad-faith insurance claim can be complex. Legal representation is crucial to ensure that policyholders’ rights are protected and to hold insurers accountable. An experienced attorney can assess the merits of a claim, gather necessary evidence, and advocate effectively on behalf of the policyholder.
The Texas Supreme Court in Alvarado v. Old Republic Ins. Co. (951 S.W.2d 254) established that an insurer acts in bad faith if it denies or delays payment of a claim when it should have been reasonably clear that the claim was covered. This highlights the importance of having legal counsel to help you understand your rights and pursue your claim effectively.
Understanding bad faith insurance claims empowers Texas policyholders to protect their rights and seek fair treatment from insurers. If you suspect your insurer is acting in bad faith, consult with legal counsel to explore your options.
For personalized assistance, contact The Woodlands Law Firm at (832) 626-0116 or visit https://link.woodlands.law/book to schedule a free 15-minute consultation with one of our attorneys.