What To Expect When You’re Suing An Insurance Company - United Policyholders (2024)

Q: What happens when you sue an insurance company?

A:

  • You and the insurance company hire lawyers. Your goal is to hire a qualified lawyer, experienced in suing insurance companies. You should also make sure the lawyer has good references.
  • Your lawyer and the lawyer for the insurance company will investigate facts and the history of the dispute through a process called “discovery”. Discovery involves exchanging documents and conducting “depositions”. A deposition is a formal fact-finding process, under oath, conducted by the insurance company’s lawyer.
  • You and the insurance company spend money on court costs, experts, discovery and travel.
  • At some point during the case, your lawyer will prepare you for a “deposition.” When you are a “deponent”, you swear to answer questions truthfully. Your lawyer should protect you from unfair questions during a deposition by making “objections.”
  • If you do not settle, and your case goes to trial, you will be required to be a witness and testify in court.
  • A lawsuit can take several years to resolve. You will have to be patient and wait for the outcome.
  • You should be able to trust your lawyer to handle the case with occasional “check-ins” to keep you posted on the status.
  • You most likely will have to participate in mediation/settlement discussions.
  • You will have to weigh settlement offers and make decisions throughout the case.

Q: I can’t afford a lawyer; do I have any options?

A: The contingent fee system allows you to hire a lawyer without paying out of pocket. The lawyer gets paid a percentage of the amount they recover for you from the insurance company. If there is no recovery, there is no fee. You can hire a lawyer on a contingent fee basis if the law in your state and the facts in your case make it possible.

Q: What can I recover if I sue my insurance company and win?

A: Depending on the facts of your case, your policy, and the state where you live, you may be able to recover:

  1. The full amount of your economic losses. This includes• Property damage

    • Medical bills

    • Loss of use of your home or car

    • Lost wages

    • Lost interest/loss of opportunity

  2. Attorney fees and costs of suit• For having to sue to recover insurance benefits owed

    • For all your losses resulting from unpaid insurance benefits

  3. Non-economic losses• Emotional upset/anxiety/pain and suffering resulting from the insurance company’s conduct
  4. Exemplary/Punitive Damages/Penalties• Punishment under statutory or case law for the insurance company’s failure to pay benefits owed

Q: What happens if I sue an insurance company and lose?

A: The answer depends on the laws in your state and the Attorney-Client fee agreement you’ve entered into with your lawyer. The general rule is that each party to a lawsuit pays his/her own legal fees, but sometimes the losing party pays certain costs. Most contingent fee agreements protect the client from owing money in the event of a loss.

Q: How is a lawsuit against an insurance company likely to be resolved?

A: Over 90% of all lawsuits end up settling before trial. Most likely your suit against an insurance company will be settled through negotiations and/or mediation.

What To Expect When You’re Suing An Insurance Company - United Policyholders (2024)

FAQs

How long must an insured wait before filing a lawsuit against the insurer? ›

In California, under CCP § 335.1, you generally have two years to file a personal injury or wrongful death lawsuit.

When may an insured bring suit against his carrier for failure to pay a claim? ›

If they refused to pay a legitimate claim or paid less than the full value of the claim, they more than likely acted in bad faith and you can proceed to suing an insurance company for denying a claim, acting in bad faith, and breaching your contract.

What is the purpose of the time limit before suit provision in insurance policies? ›

WHY the deadlines? To encourage people to promptly resolve disputes and to keep evidence fresh. If state law gives you more than a year, that law rules. Otherwise, the one year deadline in your policy will apply.

Does insurance go up after lawsuit? ›

Generally, victims should not worry that filing a claim affects their liability insurance premiums. For the most part, the reverse is true. The person who caused your pain or wrongful death is the person who needs to worry.

What is the longest you can wait to sue someone? ›

It varies by state but is usually two to four years. If you don't file a lawsuit by the time the statute of limitations runs out, your claim will be time barred.

What is a bad faith tactic used by insurance companies? ›

What are types of insurance company bad faith tactics? Types include refusing to pay valid claims, not conducting a thorough investigation, and unnecessary delays in processing claims.

What is considered negligence in insurance? ›

Insurance companies define negligence as the failure to take reasonable action to prevent damage or harm to either a person or property. Whether the perceived negligence was an accident or not, there is always the risk of a lawsuit on the grounds of negligence — even for a cause you consider false or frivolous.

What are three ways in which an insurer can be liable for bad faith? ›

Insurance Bad Faith – Frequently Asked Questions
  • interpreting the language of the policy in an unreasonable manner;
  • unreasonably failing to reimburse the insured for the entire amount of the loss;
  • unreasonably failing to settle the lawsuit;
  • unreasonable refusal to defend a lawsuit;

What is the legal action against the insurer provision? ›

Legal action against insurer is a provision in most standard insurance coverage forms that imposes certain limitations on an insured's right to sue the insurer for enforcement of the policy.

Does insurance have a time limit? ›

Once they decide to cover a claim, they need to do so within a reasonable timeframe. In most cases a reasonable timeframe would be 30 days. Some states have statutes that outline how long insurance companies have to complete each step of this process, while others leave the amount of time more ambiguous.

In which of the following situations would the insurer be liable for a loss? ›

Expert-Verified Answer. In the given scenarios, an insurer would be liable for a loss when the insured suffered an injury as an innocent bystander during a bank robbery. The other situations depict breaches of contract, rendering the insurer not liable.

How long must an insured wait before filing a lawsuit against the insurer quizlet? ›

An insured must wait at least 60 days after proof of loss has been submitted before a lawsuit can be filed .

What is the time limit to sue someone in California? ›

Personal injury: 2 years from the injury. Breach of a written contract: 4 years from the date the contract was broken. Breach of an oral contract: 2 years from the date the contract was broken. Property damage: 3 years from the date the damage occurred.

What is the legal action against the insurer clause? ›

Legal action against insurer is a provision in most standard insurance coverage forms that imposes certain limitations on an insured's right to sue the insurer for enforcement of the policy.

What if an insurance company is taking too long? ›

The law requires insurance companies to acknowledge receipt of a claim within 15 days after they receive it. They must communicate their decision on the claim within 15 business days after receiving all necessary information related to the claim. If they fail to do so, policyholders have the right to sue for delay.

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