What Damages Can Be Recovered In A Bad Faith Case? - Gianelli & Morris (2024)

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You can recover three types of damages in a bad faith case. These are the contract damages, the extracontractual damages, and punitive damages.

What are contract damages?

The contact damages are damages representing the amount of the claim that was denied plus interest. For instance, if you had a health insurance claim for $50,000 that was denied, the contract claim is that amount plus interest at 10% a year.

What are extracontractual damages?

Extracontractual damages are damages to compensate you for any economic loss, emotional distress, and attorney fees.

Economic loss damages include any type of financial loss you sustained as a result of an insurer’s bad faith refusal to pay your claim. For instance, if you had to borrow money to pay for medical care that should have been paid by the insurer, you can recover for interest paid on that loan. If the insurer’s action forced you into bankruptcy, you can recover for the damage to your credit, etc.

Emotional distress damages can be recovered when there is an economic loss that results from the insurer’s bad faith. These damages are a form of general damages that compensate the insured for any suffering, anguish, worry, anxiety, etc. he or she has suffered. In any type of insurance claim, the insurer’s bad faith in delaying or denying a claim, canceling a policy, etc., can create significant emotional distress for the insured because he or she was relying on the insurer’s promise of protection in a time of need.

Attorney fees can also be recovered when it is shown that the insurer committed bad faith. The fees that can be recovered are those incurred to prove the amounts due under the policy, as opposed to the insurer’s bad faith. At Gianelli & Morris, we take insurance bad faith cases on a contingency fee basis, which means our fees are taken as a percentage of any award we recover. Our clients are never responsible for paying their own fees in any event, but by recovering our fees from the insurance company, our clients are able to keep a larger part of their damages award for themselves.

What are punitive damages?

California Civil Code section 3294 authorizes punitive damages for conduct that is malicious, fraudulent, or oppressive. Whereas contract and extracontractual damages are meant to compensate plaintiffs for their loss, punitive damages are intended to punish the defendant for their especially wrongful conduct. Punitive damages are referred to in California law as exemplary damages, as they serve as an example to others of the types of conduct our society does not tolerate. Punitive damages may be appropriate against an insurance company for conduct that is intentionally wrong, such as deliberately concealing a material fact from the insured, or for activities conducted with a willful and conscious disregard for the rights or safety of the insured.

Punitive damages must be proven with “clear and convincing” evidence of the insurer’s wrongful conduct. Other facts in a civil case have to be proven by a “preponderance of the evidence,” which means proving a fact is more likely true than not. “Clear and convincing” is a significantly higher standard. Not only are punitive damages reserved for the most egregious cases of bad faith, but they are also substantially harder to prove than compensatory damages. At Gianelli & Morris, our California insurance bad faith lawyers put in the extra time and effort to prove punitive damages when facts warrant it.

You can recover three types of damages in a bad faith case. These are the contract damages, the extracontractual damages, and punitive damages.

What are contract damages?

The contact damages are damages representing the amount of the claim that was denied plus interest. For instance, if you had a health insurance claim for $50,000 that was denied, the contract claim is that amount plus interest at 10% a year.

What are extracontractual damages?

Extracontractual damages are damages to compensate you for any economic loss, emotional distress, and attorney fees.

Economic loss damages include any type of financial loss you sustained as a result of an insurer’s bad faith refusal to pay your claim. For instance, if you had to borrow money to pay for medical care that should have been paid by the insurer, you can recover for interest paid on that loan. If the insurer’s action forced you into bankruptcy, you can recover for the damage to your credit, etc.

Emotional distress damages can be recovered when there is an economic loss that results from the insurer’s bad faith. These damages are a form of general damages that compensate the insured for any suffering, anguish, worry, anxiety, etc. he or she has suffered. In any type of insurance claim, the insurer's bad faith in delaying or denying a claim, canceling a policy, etc., can create significant emotional distress for the insured because he or she was relying on the insurer’s promise of protection in a time of need.

Attorney fees can also be recovered when it is shown that the insurer committed bad faith. The fees that can be recovered are those incurred to prove the amounts due under the policy, as opposed to the insurer’s bad faith. At Gianelli & Morris, we take insurance bad faith cases on a contingency fee basis, which means our fees are taken as a percentage of any award we recover. Our clients are never responsible for paying their own fees in any event, but by recovering our fees from the insurance company, our clients are able to keep a larger part of their damages award for themselves.

What are punitive damages?

California Civil Code section 3294 authorizes punitive damages for conduct that is malicious, fraudulent, or oppressive. Whereas contract and extracontractual damages are meant to compensate plaintiffs for their loss, punitive damages are intended to punish the defendant for their especially wrongful conduct. Punitive damages are referred to in California law as exemplary damages, as they serve as an example to others of the types of conduct our society does not tolerate. Punitive damages may be appropriate against an insurance company for conduct that is intentionally wrong, such as deliberately concealing a material fact from the insured, or for activities conducted with a willful and conscious disregard for the rights or safety of the insured.

Punitive damages must be proven with 'clear and convincing' evidence of the insurer's wrongful conduct. Other facts in a civil case have to be proven by a 'preponderance of the evidence,' which means proving a fact is more likely true than not. 'Clear and convincing' is a significantly higher standard. Not only are punitive damages reserved for the most egregious cases of bad faith, but they are also substantially harder to prove than compensatory damages. At Gianelli & Morris, our California insurance bad faith lawyers put in the extra time and effort to prove punitive damages when facts warrant it.

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What Damages Can Be Recovered In A Bad Faith Case? - Gianelli & Morris (2024)

FAQs

What Damages Can Be Recovered In A Bad Faith Case? - Gianelli & Morris? ›

You can recover three types of damages in a bad faith case. These are the contract damages, the extracontractual damages, and punitive damages.

Which of the following types of damages are available for bad faith? ›

You can recover three types of damages in a bad faith case. These are the contract damages, the extracontractual damages, and punitive damages.

Under what circ*mstances would a claim of bad faith be justified? ›

You may have a claim for bad faith when an insurance company deliberately undervalues your claim, wrongfully denies your claim, or engages in a pattern of behavior intended to limit their payout on your claim.

What is an example of a bad faith claim? ›

Example: A policyholder submits a valid request for approval for a surgery after doctors have informed her it is necessary. 3 months later, the insurance company has yet to approve her request, or unreasonably denies the claim without a valid basis.

What kind of damages can plaintiffs in tort cases recover group of answer choices? ›

In certain cases, courts will award punitive damages in addition to compensatory damages to deter further misconduct. In the vast majority of tort cases, the court will award compensatory damages to an injured party that has successfully proven his or her case.

What are compensatory damages for bad faith? ›

Compensatory damages are also sometimes referred to as “economic damages” or “actual damages.” In the case of a health insurance claim denial, compensatory damages would generally be equal to the benefits due under the contract, as well as any additional damages that were caused by the insurer's bad faith.

When can punitive damages be awarded in a bad faith claim? ›

In order to obtain punitive damages under California law, the insured must prove the insurance company acted in bad faith, and that its conduct was also malicious, fraudulent, or oppressive. (Civil Code §3294.)

Is bad faith hard to prove? ›

Under common law, you need to be able to prove the claims adjuster or the insurance company knew their conduct was unreasonable and was conducting bad-faith negotiations on purpose. That is hard to do.

What are the consequences of bad faith? ›

Legal Consequences: Engaging in bad faith can lead to legal repercussions, including lawsuits for damages. If a party suffers financial or other losses due to another party's bad faith actions, they can seek compensation through legal channels.

What is a common cause of action under bad faith? ›

California Civil Jury Instructions (CACI) address certain forms of bad faith, such as Failure or Delay in Payment (CACI 2331), Failure to Properly Investigate a Claim (CACI 2332), and Breach of Duty to Inform the Insured of their Rights (CACI 2333).

What is evidence of bad faith? ›

Depending on the exact setting, bad faith may mean a dishonest belief or purpose, untrustworthy performance of duties, neglect of fair dealing standards, or a fraudulent intent.

How is bad faith determined? ›

Put simply, bad faith occurs when an insurance company fails to abide by the terms of an insurance policy. This can happen when an insurance company: Wrongfully denies a claim. Doesn't fully pay out a claim.

What are the two types of bad faith? ›

First-party insurance bad faith claims typically involve an insurer who unreasonably denies a claim or refuses to investigate a claim properly. Third-party insurance bad faith claims typically involve an insurer who unreasonably fails to indemnify, defend, or settle a claim as per the policy limits.

What type of damages are most likely to be awarded? ›

Compensatory Damages: Compensatory damages are the most common damages awarded in personal injury cases. These damages, as their name suggests, are used to compensate the victim for his or her losses associated with the injury. These damages can cover losses from: Current and projected medical bills.

What type of damage may not be recoverable in a negligence case? ›

Punitive Damages

These damages punish a defendant rather the compensate an injury victim. Negligent behavior alone won't support a claim for these damages.

Which damage award is most common as a tort remedy? ›

Compensatory damages compensate a plaintiff for harm, injury, or other losses caused by the tortious conduct of another party. Also called “actual damages,” compensatory damages are the primary relief awarded in a successful tort action.

What is liable for bad faith? ›

An insurer can be liable for bad faith if the insurer failed to fulfill their obligations of good faith and fair dealing. This means if the insurer acts unfairly in processing or paying a claim, they could potentially be liable for bad faith.

What type of tort is bad faith? ›

The tort of bad faith is an intentional tort and negligence or mistake is not sufficient to support a claim of bad faith against the insurer. There must be a refusal to pay coupled with a “conscious intent to injure” the claimant.

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

What Kinds Of Actions By An Insurer Constitute Bad Faith?
  • Failure to accept an insured's reasonable settlement offer. ...
  • Biased investigation or factual determination. ...
  • Failure to conduct a thorough investigation. ...
  • Unduly restrictive interpretation of claim form. ...
  • Denial based on improper standards.

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