Posted on Insurance Law Blog / Blog / There Is A Risk Of A Verdict In Excess Of Policy Limits

Page Updated 12/09/2021

There Is A Risk Of A Verdict In Excess Of Policy Limits

Let’s imagine that your auto insurance sets policy limits to $100,000, and you get in an accident where the other party sues for a $500,000 settlement demand. Nonetheless, the other party is willing to settle out of court for $100,000.

When you spoke to your insurance carrier, they refused to settle out of court because they believe that their insurance adjuster can work out a lower verdict with the jury. This selfish act puts you at risk of a verdict above the $100,000 policy limit.

For instance, say the jury decides to award the other party $2 million; that means the insurer will only cover $100,000 of the verdict in excess of policy limits, and you must provide the remaining $1.9 million.

Under California law, if an insurance company does not settle a claim within the policyholder’s policy limits, the court may place the insurer in liability in excess of the policy limits based on violating their duty of good faith.

Ehline Law Firm is Here to Help With Insurance Company Lawsuits

  • Failure of Duty to Defend: Excess Verdicts and Insurance Bad Faith
  • Is the Insurance Company Acting in Good Faith?
  • Your Insurance Coverage and Settlement Demand
  • What Will You Do?
  • Factors to Consider in Evaluating Insurer’s Conduct

Failure of Duty to Defend: Excess Verdicts and Insurance Bad Faith

If an insurance company failed to settle a coverage dispute within the policy limits, it puts the policyholder’s assets at risk. This is a form of bad faith conduct because the insurance company puts its interests ahead of the interests of its policyholder. An insurer has to settle within the insured’s policy limits.

If your insurance carrier puts you at risk of an excess verdict, it can wipe out your personal assets, including your house, car, retirement savings, and everything else, because your insurance company puts its own interests ahead of yours.

Insurers’ duty is to settle claims against any insured’s pursuant to the covenant of good faith and fair dealing implied in all policies.

Under the law, if the policyholder’s liability limit is clear, and the lawsuit is heading for a verdict in excess of policy limits, an insurance company has a duty to initiate settlement negotiations.

An insurance company must accept a reasonable settlement offer within policy limits when there is a likelihood that a verdict will exceed policy limits. This obligation applies to primary as well as excess insurance companies.

Is Insurance Company Acting in Good Faith?

In determining whether an insurance company’s failure to compromise a claim is a breach of duty to the insured, requiring a response for any judgment recovered against him in excess of the amount limited in the policy, the vast majority of jurisdictions are of the opinion that the insurer must act in “good faith.”

[The decision] must be honest and intelligent if it is a good-faith conclusion. In order that it be genuine and intelligent, it must be on the basis of evidence-backed by the facts and circumstances upon which they predicated the liability, and upon an understanding of the extent and nature of the injuries, the other party is suing for as they can reasonably ascertain them.

This obligation requires the insurance company to make a diligent effort to ascertain the facts upon which an intelligent person may predicate a good faith judgment.

Nonetheless, an insurer’s failure to defend a policyholder within policy limits can result in an excess verdict, which can mean financial ruin for the policyholder.

Insurers’ obligation in good faith and fair dealing implies that every insurance policy obligates the insurance companies to accept a reasonable settlement offer for a lawsuit by a third party against the policyholder within policy limits whenever there is a substantial likelihood of a recovery in excess of those limits.

The insurance carrier must evaluate the reasonableness of an offer in order to settle whatever the lawsuit against the insured is by considering the probable liability of the insured and the amount of that liability without regard to any coverage defenses.

Your Insurance Coverage and Settlement Demand

If your insurance company refuses to settle a claim or the insurance company failed to defend a lawsuit that resulted in an excess verdict, you deserve the legal representation of expert attorneys in California. Call (213) 596-9642. An Ehline Law Firm bad faith attorney is waiting to answer your call any time.

Your liability insurance imposes two different obligations for insurance companies: 1) to defend you and 2) to indemnify you against covered claims. (Howard v. American National Fire Ins. Co. (2010) 187 Cal.App.4th 498, 519.)

The need to defend establishes the framework for the obligation to settle. This is because an insurer’s obligation to settle claims exists before the conclusion of judgments and factual findings on claims required to determine insurance coverage.

Thus, an insurer must frequently fulfill its obligation to settle without having the information essential to determine whether or not there is actual coverage.

What Will You Do?

The safest course for insurers facing the possibility of an unreasonable and unlikely judgment that may exceed policy limits is encouraging and allowing the insured to retain personal counsel at its own expense to monitor this possibility. That means for you to establish an attorney-client relationship with us as soon as possible. We offer a free consultation and case evaluation.

Policyholders who may be facing the possibility of an adverse judgment in excess of their insurance policy limits should contact Ehline Law Firm for free case evaluation that will fairly show whether your case may be a verdict in excess of policy or otherwise expose yourself to an uninsured loss and without evidence necessary to prove their insurance company failed to protect their interests.

Factors to Consider in Evaluating Insurer’s Conduct

In determining whether your insurance company acted unreasonably or without proper cause, you may consider whether the defendant did not attempt in good faith to reach a prompt, fair, and equitable settlement of the injured plaintiff’s claim after liability had become reasonably clear.

Under California law, an insurer’s duty is to make reasonable efforts to settle lawsuits against its insured. The law imposes a responsibility to protect the insured from exposure to liability limits (Murphy v. Allstate Ins. Co.(1976) 17 Cal.3d 937, 941.)

This duty ensures that the insured does not suffer as a result of the insurer’s gamble (Id.) Thus, the insurance company’s duty to settle protects the policyholder by imposing the risk of a verdict above policy limits where the insurer rejects a reasonable settlement offer on the insurance company.

If you have an opportunity to settle your case within policy limits. But the insurance company refuses, you must consider seeking independent legal advice from a legal with several years of experience and an indisputable track record.

A settlement may be in the insured’s best interests, and an unreasonable refusal to settle by the insurance company may give rise to bad faith liability.

Downtown Los Angeles Corporate Offices

Downtown Los Angeles Office
633 West 5th Street #2890
Los Angeles, CA 90071
(213) 596-9642

Downtown Los Angeles Office
633 West 5th Street #2890
Los Angeles, CA 90071
(213) 596-9642
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