What is a Policy Limits Settlement? - FAQ (2024)

If you’ve been involved in a car accident in St. Louis or are seeking the counsel of a St. Louis car accident lawyer, one term you might come across is “policy limits settlement.” This FAQ will help you understand the term and how it can affect your potential settlement.

What is a Policy Limits Settlement? - FAQ (1)

What is a policy limits settlement?

A policy limits settlement is when an insurance company agrees to pay the maximum amount available under a specific insurance policy to settle a claim. This figure is essentially the ceiling amount the policy sets for particular damages or injuries.

It’s crucial to note that this doesn’t mean the victim’s damages are limited to the policy amount. It merely signifies the most an insurance company will pay based on the purchased policy.

Why would an insurance company offer a policy limit settlement?

Insurance companies operate based on risk assessment. When they assess that the potential judgment, if a case goes to court, could surpass the policy’s limit, they might choose to offer a policy limits settlement.

By settling at the policy limit, insurance companies can mitigate the risk of incurring higher costs from a verdict that goes beyond the policy and save on litigation expenses and uncertainties.

Can I ask for more than the policy limit?

Technically, you can demand an amount that exceeds the policy limit. However, it’s essential to understand that insurance companies have no obligation to pay beyond what’s stipulated in their policy.

If your damages surpass the policy limit, seeking additional compensation from the person at fault becomes the next viable step. Yet, this approach can be more intricate and prolonged.

Is a policy limits settlement the final settlement?

Once you accept a policy limits settlement, it typically signifies a conclusive settlement of that claim. This means you relinquish the right to pursue additional compensation from the insurance company related to that incident.

However, depending on the case’s specifics, this doesn’t prevent one from seeking compensation from other avenues or parties.

How does a St. Louis car accident lawyer determine if a policy limits settlement is appropriate?

When a St. Louis car accident lawyer evaluates a case, they start by meticulously reviewing the specifics, including the gravity of injuries or damages, estimated future medical expenses, and loss of wages, among other relevant considerations.

If the projected costs are nearing or are expected to overshoot the policy limit, pushing for a policy limits settlement becomes a strategic course of action.

Do I need a lawyer to negotiate a policy limit settlement?

Legally speaking, individuals are not obligated to engage a lawyer when entering into negotiations following an accident. Yet, the value of enlisting the services of a St. Louis car accident lawyer cannot be overstated. These professionals bring a wealth of knowledge honed over years of dealing with similar cases and a comprehensive understanding of the intricacies of personal injury law.

Their expertise equips them to effectively face off with insurance companies, who often have teams of experienced legal professionals aiming to minimize payouts. This often becomes a game of strategy and understanding the nuances of the law, where having someone seasoned by your side can be the difference between a fair settlement and being left wanting.

A St. Louis car accident lawyer has the acumen to assess the true worth of your claim, ensuring you aren’t short-changed. Beyond the monetary aspects, they also advocate for your rights, ensuring that your best interests, well-being, and prospects remain at the forefront of all discussions and decisions.

Contact Langdon & Emison or call (866) 931-2115 for a free consultation.

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What is a Policy Limits Settlement? - FAQ (2024)

FAQs

What does it mean to settle for policy limits? ›

Once you accept a policy limits settlement, it typically signifies a conclusive settlement of that claim. This means you relinquish the right to pursue additional compensation from the insurance company related to that incident.

What is a policy limit in insurance? ›

What is an insurance limit? A limit is the highest amount your insurer will pay for a claim that your insurance policy covers. Think of it this way: It's like filling up a fishbowl. If you file a covered claim, your insurance policy will pay up to a certain amount.

Who pays the damages that exceed the policy limits? ›

Ultimately, if the court ruling surpasses your policy limits, your insurance company becomes responsible for the full judgment, even the excess amount.

What does tendering the policy limits mean? ›

Tendering the limits refers to an insurance company "offering" the policy limits. There is no duty to accept this unless you have specifically told them you would accept the limits if they offered them.

How successful are demand letters? ›

How successful is a demand letter? Demand letters are an effective way to give notice of intent to take legal action and can be a necessary step before filing a lawsuit. They can provide a successful solution based on a federal act or state statute.

What happens if insurance doesn't want to settle? ›

When an insurance company refuses to settle, it may be liable for the full amount of the excess judgment after trial, notwithstanding the lower policy limits. This duty of good faith aligns the insurance company's incentives with those of its insured.

What is the claim limit on a policy? ›

It's the maximum your insurer will pay for claims over the course of your policy period, generally a year.

When should you demand a policy limit? ›

A settlement demand for an amount within policy limits is reasonable if the defendant knew or should have known at the time the demand was rejected that the potential judgment was likely to exceed the amount of the demand based on the plaintiff's injuries or loss and plaintiff's probable liability.

What is the difference between maximum covered loss and policy limit? ›

On the examination, policy limit will refer to the maximum insurer payment provided under a policy and maximum covered loss will refer to the loss (or total losses) above which no additional benefits are paid.

What is excess of the policy limits? ›

Losses in excess of policy limits is an expression used in reinsurance agreements that refers to damages awarded by a court against an insurer in favor of the insured, due to the insurer's having failed to settle a third-party claim against the insured within the policy limits by reason of bad faith, fraud, or gross ...

What is a limitation of liability to insurance limits? ›

Your policy outlines what events, or perils, trigger each coverage and how much your insurance company pays in each type of claim. However, your insurer isn't necessarily responsible for paying for your entire loss. Its responsibility is capped at a certain dollar amount, called the limit of liability.

Who decides the amount and type of damages? ›

In cases that go to trial, the jury typically decides the amount of damages. They consider the evidence presented, including the nature and extent of the harm or loss, the conduct of the defendant, and the financial circ*mstances of both parties.

What is an example of a policy limit? ›

Policy limits may be expressed as a single limit or as split limits, with different maximums for each. For example: a $500,000/$1,000,000 split limit policy might have a maximum of $500,000 per occurrence for property damage and a maximum of $1,000,000 per occurrence for bodily injury.

How do limits work in insurance? ›

Your policy's coverage limits are the maximum amount your insurer may pay out for covered claims. If you file a claim with your insurer or have a claim filed against your insurance, and the costs exceed your coverage limit, then you may be responsible for any remaining expenses that aren't covered by your insurance.

What does it mean to tender an insurance claim? ›

When we tender the claim to the contractor, we are requesting that the insurance carrier for the contractor provide us a written decision on our tender demand, and asking them if they question or challenge the coverage.

What does settle policy mean? ›

Settled policy means a life insurance policy or certificate that has been acquired by a provider pursuant to a life settlement contract.

What does it mean to settle an insurance claim? ›

If an insurer settles a claim it pays money to a policyholder for the occurrence of a loss or risk against which they were insured. Insurance companies use the premiums they receive not only to settle claims but also to generate additional income and profit by investing their funds in financial securities.

What does insurance settlement amount mean? ›

Insurance settlement. The payment of proceeds by an insurance company to the insured to settle an insurance claim within the guidelines stipulated in the insurance policy.

What does it mean to demand policy limits? ›

A policy limit demand letter is intended to provide the insurance company the chance to protect its insured from paying an excess verdict. In the event that the insured's policy limits are unknown, an experienced personal injury attorney will request that the insurance company reveal the limits.

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