Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
5 Cards in this Set
- Front
- Back
What is the purpose of the Unfair Claim Settlement Practices Act?
|
Designed to help guarantee that no insurer doing business in TX engages in unfair claims settlement
Unfair settlement practices: not settling with insured when you should It is a tie-in-statute; an insurer who commits prohibited practice under this article violates DTPA |
|
What does Ch. 542 cover?
|
Prompt payment of claims
Notice of claim: insurer must respond to claim not later than 15th day after receipt fo notice of claim or on 30th business day if insurer is an eligible surplus lines insurer Must accept or reject claim within 15 days If unable to accept or reject, can extend 45 days |
|
If an insurer fails to accept or reject a claim within allotted time limits, what result?
|
Penalty.
Liquidated damages to complaint; delay results in 18% penalty plus attorneys’ fees |
|
Describe the common law duty of good faith that the insurer has?
|
Insurer has duty of good faith and fair dealing with respect to insured [tort duty]; ensure ‘prompt, fair, equitable’ settlement
Same as Chapter 541 (duty of good faith), but here it’s a tort If there is bona fide dispute about coverage, denial of claim will not be in bad faith |
|
What is the Stowers Doctrine?
|
Relates to third party claims.
If claimant offers to settle for policy limits, when liability is reasonably clear, insurer has duty to settle (or else assume Stowers liability: wrongful refusal to settle subjects insurer to all damages) |