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Articles Posted in Claims Denial

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Under-Payment Of Texas Insurance Claims

Can it be a surprise? Insurance companies appear to be getting caught in under paying on claims. The Texas Windstorm Insurance Association (TWIA) seems to be caught in some controversy regarding its claims handling along the Texas Gulf Coast. Keep in mind the problems being experienced could just as easily…

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What To Do In Texas When The Insurance Company Says There Is No Coverage Under The Policy

An incident happens. Maybe your house in Dallas has someone inside who falls down the stairs. Maybe your car in Arlington is involved in a wreck. Maybe your business in Grand Prairie suffers a loss due to someone falling on the steps. Maybe the life insurance policy you purchased on…

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“Claims Made” v. “Occurrence” Policies In Texas

The Supreme Court of Texas decided a case this year wherein the distinction between “claims made” policies and “occurrence” policies was discussed. This case is, Prodigy Communications Corp. v. Agricultural Excess & Surplus Insurance Company. As discussed in an earlier case on this blog, the PAJ case, the main issue…

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Your Duties After An Accident Or Loss In Texas

An appeal from a Dallas, Texas Court decision was decided by the Texas Supreme Court, in the case PAJ, Inc., d/b/a/ Prime Art & Jewel, v. The Hanover Insurance Company. This case was decided in January, 2008. It discussed the responsibilities of holders of an insurance policy as it relates…

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Cancellation And Nonrenewal Of Certain Liability Policies In Texas

In Texas, there are rules regulating the conditions for an insurance company to cancel certain liability policies or to opt to nonrenew the policies. These rules are found primarily in Section 551 of the Texas Insurance Code. To begin with, one rule found in Section 551.052 says that an insurance…

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