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Car Accident: What is Contributory vs. Comparative Negligence?

If you get into a car accident, you, of course, want to make sure the at-fault driver’s insurance pays for damage and medical bills. At the outset of your case, you may hear about contributory negligence versus comparative negligence. What do those terms mean, and why does it matter in your case? 

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Nursing Home Abuse and Neglect

Nursing home abuse and neglect are a serious concern. Although regulations of care facilities have increased, abuse by staff members — or even other residents — is a problem. According to the National Institutes of Health, national ombudsman received an annual average of 11,749 abuse and neglect-related complaints in nursing homes from 2006 to 2013. […]

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Title Searches

When buying property, it’s important to know you are getting what you’re paying for. In law, business, and real estate, a title search is the process of examining public records to determine who owns the property and if there are any liens or claims against the property. It also can be a gathering of relevant documents […]

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Injuries On-the-Job

If you are injured at work, it’s important to contact an experienced personal injuries attorney as soon as possible. The law is designed to help employees who are accidentally hurt on the job receive benefits and payments for medical expenses, time lost from work and more. It can feel scary to hire a lawyer in […]

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Occupational Diseases

Not all jobs are safe. Asbestos, silicosis, anthrax and some types of hearing loss are just a few of the diseases or hazards one might suffer on the job. According to the World Health Organization, an “occupational disease” is any disease contracted primarily as a result of an exposure to risk factors arising from work […]

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Closings

A house closing may seem like a long meeting with a lot of boring paperwork to sign. Still, whether you are buying or selling, it’s important to have an attorney you can trust explaining each document in plain language before you add your signature. Buyers and sellers often have conflicting interests as a home or […]

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Motorcycle Accidents

Motorcycle Accidents often lead to serious and permanent injuries. If you have been injured in a motorcycle accident that was not your fault, you may have a personal injury claim. Be cautious about talking to the other driver’s insurance company before you consult with an experienced injury lawyer. The insurance company may try to blame […]

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Property Deeds

Property deeds are documents that legally transfer the ownership of a property from one person to another. There are several types of deeds, including quitclaim deeds, warranty deeds, grant deeds, trust deeds, and fiduciary deeds. Deeds must be notarized and then recorded in the county’s Register of Deeds office. Experienced real estate attorneys can help […]

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Wrongful Death

When one person’s intentional act or negligent actions result in the death of another, a wrongful death has occurred. The spouse, children, or parents of the deceased may bring a lawsuit for wrongful death against the wrongdoer or wrongdoers to compensate for the loss of love, affection, wages or other support they would have received had the person lived.

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Truck Accidents

If you have traveled on any major highways in the past months, you have probably noticed the astonishing increase in truck traffic. The records of trucking companies reveal that commercial trucks cram onto the highways jockeying for position among passenger cars and rush to complete their routes on time. The trucks are often loaded to capacity, sometimes poorly maintained, and frequently driven by truckers with serious safety deficiencies.

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    What Our Clients

    Have Said...

    What You Should Know About Bad Faith InsuranceYour insurance company is legally obligated to deal with you “fairly and in good faith.”  When you file insurance claims, such as claims for bodily injury and/or property damage under your auto policy, that good faith obligation is tested.  After all, the insurance company’s bottom line and your best interests are at odds.  The more claims a company denies and the less it pays o claims it accepts, the more profit it makes.  But you’ve paid your premiums and deserve to be fully compensated for your losses up to the limits of your coverage. 

    Most often, insurance companies investigate and administer claims professionally, deny only those claims they reasonably believe are invalid, and attempt to evaluate and settle valid claims fairly.  Sometimes, they get it wrong, even though they have acted fairly and in good faith.  When that’s the case, the policyholder can file a breach of contract lawsuit and go to trial to recover the compensation to which he/she is entitled under the policy.  

    If the insurance company does not act fairly and in good faith, the policyholder has grounds to file an insurance bad faith lawsuit and, if successful, recover not only what is due under the policy but also either punitive or multiple damages.  Here is what you should know about bad faith insurance lawsuits in North Carolina.

    What Laws Support an Insurance Bad Faith Lawsuit?

    In North Carolina, there are two sources of insurance bad faith law, state statutes and common law (court decisions).  A policyholder can file an insurance bad faith lawsuit based on either or both, but where the court determines that both apply, the policyholder must elect to recover under one or the other.

    Statutory Insurance Bad Faith

    Under the North Carolina Unfair and Deceptive Trade Practices Act, a policyholder can recover “treble damages,” three times the amount of any damages caused by the insurance company’s “unfair” or “deceptive” behavior.  Such behavior is not limited to, but definitely includes, any of the fourteen “unfair claim settlement practices” defined in a section of North Carolina’s insurance statutes.  

    Among those unfair claim settlement practices are:

       *     misrepresenting pertinent facts or policy provisions relating to the coverages at issue,

       *     failing to acknowledge and act reasonably promptly upon communications with respect to claims,    

       *     refusing to pay a claim without conducting a reasonable investigation of all available information,

       *     failing to affirm or deny coverage of claims within a reasonable time after proof-of-loss statements are completed,

        *     forcing the policyholder to resort to litigation without attempting to settle in good faith,

        *     attempting to settle a claim for  less than a reasonable man would have believed he was entitled,

         *     failing to promptly settle claims under one coverage where liability is reasonably clear (e.g., property damage claims) in order to influence settlement of claims under another coverage (e.g., personal injury claims) and

         *     failing to promptly and reasonably explain the basis in the policy or applicable law for denial of a claim or the offer of a  compromise settlement.

    Common Law Insurance Bad Faith

    In addition to liability based on those North Carolina statutes, North Carolina courts have held that an insurance company is responsible for bad faith wrongdoing when it refuses to pay policy benefits after receiving and recognizing a valid claim or otherwise acts solely in its own interest, provided, that there must also be some “aggravating” or “outrageous” misconduct by the company that harms the policyholder.  Such additional misconduct has been described as including “fraud,” “malice,” “gross negligence,” “willful and wanton conduct,” or “reckless disregard.”  Those can be difficult to prove and have to be considered and determined based on the facts in each case.  

    The theory in the bad faith case decisions is that a judgment awarding the policyholder only what is due under the policy (for breach of contract) does nothing to discourage the insurance company (and other insurers) from engaging in such bad behavior when responding to future claims.  Under those circumstances, the court’s judgment may also require that the company pay the policyholder punitive damages that may be much higher than the value of the original claim or the policy limits.

    Should You Consider Filing an Insurance Bad Faith Lawsuit?

    North Carolina does not recognize a claim for bad faith against someone else’s insurance company.  Also, your insurance company may treat you “fairly and in good faith” yet still deny your claim in whole or in part.  When it accepts liability, it may still honestly and reasonably disagree with your calculation of your covered losses.  

    As you should understand, based on this very brief introduction to the applicable law, distinguishing between good faith (though rigorous) and bad faith insurance company conduct is difficult and can only be done on a case-by-case basis.  It requires the kind of analysis that can best be done by an experienced attorney.  

    Our attorneys at Kelly & West have helped hundreds of clients with their insurance claims.  If you have filed a claim and feel that your insurance company is ignoring you, unnecessarily delaying its response or otherwise treating you unfairly, you are welcome to contact us at Kelly & West and arrange for a free consultation.