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Insurance Claims in Hawaii - Generally


There are various types of insurance coverage related to personal injury accident claims. For an overview of the types of coverage, please click here:
Types of insurance coverage



After an accident it is usually very important Hawaii (from the point of view of making a claim) to take a number of steps immediately in order to preserve evidence and document your claims. To examine these issues more closely, please visit the following page:

Inital Steps in Making Your Claim




If you wish to examine the minimum insurance coverages required under Hawaii state law for most motor vehicles and for motorcycles then you can do so at the following two links:

Auto Accidents and Motor Vehicle Insurance for Car Accidents

Motorcycle Accidents and Insurance on Motorcycles


These coverages generally should be available to help to compensate a person for loss as the result of negligent operation of the vehicle. (Optional additional coverages may also be available.)



Insurance Company Bad Faith in Hawaii

Sometimes when dealing with an insurance company, a claimant is treated so badly that the wrongful conduct gives rise to an independent cause of action for insurance company bad faith. Insurance policies are generally purchased by policy holders to bring Accident Lawyer Hawaii- Insurance Claim peace of mind and security. They are supposed to provide "good neighbors" and "good hands" in time of need. Increasingly, however, insurance companies take the approach that they are profit machines for their stockholders and insiders. Claims adjusters are taught to be difficult to reach, uncooperative when finally tracked down and evasive in their responses. Claim payment is often avoided on the thinnest of excuses- with an eye toward forcing a financially weakened claimant into a position of economic desperation and obtaining a settlement which favors the insurance company. Such tactics are very common- but in an appropriate case they may give rise to an independent cause of action for bad faith.


In a bad faith action- a claimant has the benefit of being able to identify for the jury the insurance company that is mistreating its policy-holder or beneficiary. As a general rule- claimants are precluded by the Hawaii rules of evidence from discussing insurance companies in any way during the trial of a liability insurance claim. This unfortunate situation allows liability insurers to conduct outrageous character assasination against opposing litigants while having their profit motive for such bald-faced smear campaigns obscured from the inquiring minds of jurors. In order to change this unjust situation, prompt legislative or judicial reversal of this unfair situation is required. Such deliberate and unethical conduct by insurance companies should not continue under a cloak of darkness granted because insurance companies are rich and politically powerful. However, in a bad faith action- as opposed to most liability claims- the claimant is able to identify and expose the wrongdoing of the insurance company.


The decision of the Hawaii Supreme Court in The Best Place, Inc. v. Penn America Insurance Co. (Hi Sup Ct No. Accident Lawyer Hawaii- Insurer 16065, June 5, 1996) upheld claims for bad faith conduct against insurance companies under Hawaii law. When an insurer wrongfully denies benefits, the insurer may held liable for consequential damages, emotional distress damages, punative damages, attorneys fees and more. Although this decision found only that the insurer is liable for bad faith conduct toward a person who paid it for insurance coverage, the reasoning followed by the court indicates that the Hawaii courts may also recognize insurer responsibility for bad faith conduct in other situations in the future. The court referred to an implied covenant of "good faith and fair dealing".


When addressing the issue of bad faith on the part of an insurance company one Oregon case was rather specific about the requirements placed on an insurance company. In the case of Radcliffe v. Franklin National Insurance Company of New York, 298 P.2d 1002 (Or.1956) at 1020, that court stated:

"it can not be said to be bad faith to deny a claim when there is substantial evidence to support the denial. ...the minimum requirement is that the insurer must exercise good faith in disposing of settlement matters. We do not believe that an insurer displays good faith unless it gives consideration to the interests of the insured. Good faith may frequently he determined by ascertaining whose interest was deemed paramount, the insured’s or the insurer’s, when the insurance company rejected an offer of settlement; in other words, whose interest was sacrificed at that time. We have taken note of the fact that a conflict of interests between the insured and the insurer presents itself when damages are sought in excess of the policy limits and an offer of settlement which approximates the policy limit is received. It is essential to know whose interest must be safeguarded when action is taken upon the offer."
At page 1024 of its opinion that court went on to say:
"The mere rejection of a settlement offer does not suffice to save the insurer harmless, nor is it sufficient to show that the insurer, in rejecting a settlement offer, had no evil purposes. Negative elements do not meet the demands of good faith. A decision by one who is ignorant of the controlling facts is worthless. Only a decision made by one who exercised due diligence in apprising himself of the material facts is entitled to respect as made in good faith."



Deadlines for Bad Faith claims against insurers in Hawaii

Claims for insurer bad faith arise both in contract and Accident Lawyer Hawaii- Deadlines in tort (personal injury). As a result the deadlines for filing insurance bad faith claims depend upon whether only contract claims are submitted (such as a request for payment of the policy benefits or a refund of premiums) or whether the more encompassing personal injury claims are also sought (such as emotional distress damages, certain types of consequential damages or punative damages). For contract claims the applicable statute of limitations is usually more than years from the breach of contract. For personal injury claims generally a 2 year deadline applies from the date of the wrongful conduct until the claims must be filed in court. You must file your claims in court prior to the expiration of such deadlines, or your claims may be lost—regardless of their merit. To be wise it is recommended that you immediately contact an attorney after an accident giving rise to injuries occurs- please do not hesitate to :

Contact Accident Lawyer Hawaii now for a free evaluation of your case.


What is insurer bad faith?

The Hawaii Supreme Court has found that there is a legal duty implied in every insurance contract that the insurer will act in good faith in dealing with its insured. A breach of that duty of good faith gives rise to a tort (personal injury) cause of action against the insurer which is independent of the original insurance contract claims.

It is not necessary that the insured show a conscious awareness Accident Lawyer Hawaii- Bad Faith of wrongdoing on the part of the insurance company or unjustifiable conduct on its part in order to assert a claim of bad faith. It is sufficient to show unfair dealing, such as an unreasonable delay in the payment of benefits, in order to recover damages suffered as a result of the insurer's conduct.

An insurer may be held liable for the improper conduct of the defense of its insured. This is true- even though it is ultimately determined that the insurer had no duty to defend or indemnify under the terms of its policy. Delmonte v. State Farm, Hawaii Supreme Court No. 21351 (February 3, 1999).

Punative damages. In order to recover punative damages- which are damages intended to punish the wrongdoer over and above the actual losses suffered by the victim- it is probable that conduct must be demonstrated which is more that just unfair dealing. To recover these damages, the insured probably must prove wanton, oppressive or malicious conduct on the part of the insurer and/or a conscious indifference to the consequences. This also may have to be proved by clear and convincing evidence- not just by a preponderance of the evidence* which is the usual standard of proof for personal injury claims.

*To "prove by a preponderance of the evidence" means to prove that something is more likely so than not so. It means to prove that something is more probably true than not true.



No Bad Faith Claims against self-insurers

In the case of Simmons v. Puu 105 Haw 112, 94 P3d 667 (2004) the Hawaii Supreme Court held that that there is no common law tort claim of bad faith settlement practices available to third-party claimants against self-insurers.



Abuse of Process and Bad Faith Claims
(with Thanks to John C. McLaren)

This section discusses 3 recent mainland abuse of process cases where insurance carriers have used the expenses and delay of litigation to drive plaintiffs/claimants into the ground. This is a tactic of deterrence which is commonly used by insurers in order to escape or substantially reduce their claims payouts. It constitutes a type of conduct which may give rise to claims for insurance company bad faith.

The elements of the tort of abuse of process in Hawaii are stated in Wong v. Panis, 7 Haw.App. 414, 420-421, 772 P.2d 695, 699-700 (1989). These are “(1) an ulterior purpose and (2) a willful act in the use of process which is not proper in the regular conduct of the proceeding.” The ICA held that “[f]or abuse of process to occur there must be use of the process for an immediate purpose other than that for which it was designed and intended.”Id. (It should be noted that the six year limitation period in HRS § 657-1(4) and Hawaii’s equitable discovery rule may apply to the commencement of an action for abuse of process - so this type of action may be available long after the offending conduct.)

In Givens v. Mullikin Ex. Rel. McElwaney, 75 S.W.3d 383, 402 (2002) the Tennessee Supreme Court held that “abuse of process in the civil discovery context may lie when (1) the party who employs the process of a court specifically and primarily intends to increase the burden and expense of litigation to the other side; and (2) the use of that process not otherwise be said for the ‘legitimate or reasonably justifiable purposes advancing [the party’s] interests in the ongoing litigation.”

In Crackel v. Allstate Ins. Co., 92 P.3d 882, 888 (Ariz.App.Div. 2 2004), the Arizona Court of Appeals held that “a litigant may commit abuse of process while merely defending an underlying action.” The Court said the plaintiffs “maintain that Allstate used the prospect of sustained and expensive litigation as a ‘club’ in an attempt to coerce them, and other similarly situated claimants, to surrender [their] causes of action. We have little trouble concluding that such a use of court processes would be improper.” 92 P.3d at 890 (bracketed material added for clarification). The Court held that “[i]n assessing whether a reasonable jury could determine that Allstate’s allegedly improper corporate goals constituted a primary motivation for the use of court proceedings in this case, the trial court was also entitled to consider evidence of Allstate’s conduct in the underlying litigation” 92 P.3d at 891. The Court relied on a prior ruling Nienstedt v. Wetzel, 651 P.2d 876, 882 (Ariz.App.Div.1 1982) which held that “liability for abuse of process [can be] imposed where the ulterior or collateral purpose involved has been to expose the injured party to excessive attorney’s fees and legal expenses.” (bracketed material added for clarification). The Court held that the trial court properly denied Allstate’s motion for judgment as a matter of law on the plaintiffs’ abuse of process claim because they had “raised a question of fact whether Allstate had abused a specific court process in a fashion not consistent with reasonably justifiable litigation goals.” 92 P.3d at 894. The Court upheld the jury’s verdict against Allstate on this claim. 92 P.3d at 885 (Note: The Crackel case involved Allstate's Minor Soft Tissue Injury (MIST) computer program which is used to "de"-value cases.)

In General Refractories v. Fireman’s Fund Ins., 337 F.3d 297, 308-309 (3rd Cir. 2003) the Third Circuit Court of Appeals cited to Givens and Nienstedt and reversed the district court’s refusal to allow General Refractories to amend their complaint to state an abuse of process cause of action for Fireman’s Fund’s use of the discovery and litigation process as a tactic for “harassment, draining resources, delaying payment to GRC under the insurance policy, delaying litigation, and avoiding payment under the insurance policy.” The Court said the “test courts should use in deciding what circumstances amount to an abuse of process” is “whether there has been a ‘perversion’ of the process, or, whether a legal process has been used ‘as a tactical weapon to coerce a desired result that is not the legitimate object of the process.’” 337 F.3d at 307.

The rationale and rulings in Givens, Crackel, Nienstedt, and General Refractories are entirely consistent with the Hawaii Supreme Court’s rationale and rulings (eg. Kawamata Farms and Matsuura) and would likely be adopted by the Court.



Links on Bad Faith Claims
(with More thanks to John C. McLaren)

Butler Pappas on Bad Faith http://www.butlerpappas.com/ publications/badfaith.htm

Civility in Depositions - Hardball Strikes Out http://www.butlerpappas.com/ publications/civility.htm

www.badfaithinsurance.org

Driving the Stake into the Comparative Bad Faith Defense and Reverse Bad Faith Claims. Driving the Stake- Comparative Bad Faith.pdf

The Current State of Comparative Bad Faith http://www.butlerpappas.com/ publications/0304bf.htm

 

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In some jurisdictions, courts require a defense medical examiner to produce tax returns as a prerequisite to allowing the witness to testify against an injured claimant. See, eg, Noffke v. Perez, Sup. Ct. of Alaska No. S-12185, 2008 Westlaw 746972 (Alaska, March 21, 2008). This requirement exists because large amounts of income from insurance companies shown on the doctor's 1099's and tax returns shows a reason for bias. Unfortunately, the Hawaii courts and the LIRAB have consistently failed to provide even this minimal protection against often highly biased defense medical examiners purchased by insurance companies. A change of course is needed.



The information provided in these pages is intended to be preliminary and informational ONLY. It is not legal advice by Accident Lawyer Hawaii nor may it be relied upon as such. The use of the Insurance Claims and Bad Faith - Accident Lawyer Hawaii webpages does not establish an attorney-client relationship. This page is Copyright Accident Lawyer Hawaii- Insurance Claims graphic 1999-2005 by Insurance Claims - Accident Lawyer Hawaii. All rights reserved. Its contents are the property of William H. Lawson-

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