Bad Faith insurance claims often involve allegations of some sort of fraud by the insurance company and / or the adjuster handling the claim. The Southern District of Texas, McAllen Division, issued an opinion recently dealing with allegations of fraud against an insurance company. The opinion is styled, Cesarea Trevino…
Dallas Fort Worth Insurance Lawyer Blog
Employee Retirement Income Security Act (ERISA)
ERISA has it’s own set of rules and regulations and is unlike normal insurance that is governed by State laws and the Texas Department of Insurance. Here is a 2019, opinion from the Eastern District of Texas, Sherman Division, that deals with ERISA and a claim for Long Term Disability…
Delay In Paying A Claim
When an insurance company delays in paying a claim, the claimant may be entitled to relief under the Texas Prompt Payment of Claims Act. The Texas Prompt Payment of Claims Act, Section 542.060 provides that (1) if an insurer that is liable for a claim under an insurance policy is…
Statute Of Limitations
Here is a case where the statute of limitations defense by the insurer did not work. The case is from the Southern District of Texas, Houston Division. It is styled, Arcelia Flores, et al v. Allstate Texas Lloyds. Allstate filed a Motion for Summary Judgement based on the statute of…
Allegations Of Insurance Company Fraud
When suing an insurance company for insurance fraud, especially in Federal Court, the insured needs to plead with specificity. This is illustrated in a 2019, opinion from the Southern District of Texas, Laredo Division. The opinion is styled, Salvador Aviles v. Allstate Fire and Casualty Insurance Company. Aviles had a…
Who Is Engaged In The Business Of Insurance?
The answer to the titled questions is partially addressed in a 2019 opinion from the Southern District of Texas, Corpus Christi. The opinion is styled, MJ & JJ, LLC; dba Peacock Manor Apartments v. Clear Blue Specialty Insurance Company, et al. After sustaining hurricane damage, Peacock sued Clear Blue, Madsen,…
Limitations Period In Insurance Contract
Insurance lawyers and anybody who has an insurance policy needs to know what the limitations period is in the insurance policy. This is illustrated in the 2019, 5th Circuit Court of Appeals opinion styled, Lillian Smith v. Travelers Casualty Insurance Company of America. Lillian sued Travelers for contractual and statutory…
Articulating The Wrongs Against An Insurance Adjuster
As stated before, the insurance companies prefer to litigate cases in Federal Court. One of the ways to stay out of Federal Court when suing the adjuster for an insurance company is to clearly articulate the wrongs that the insurance adjuster committed. This is illustrated in a 2019, opinion from…
Personal Protection Benefits – Occupying A Vehicle
When it comes to claims dealing with automobile policies, here is a case that needs to be read. It is a 2019, opinion from the Texarkana Court of Appeals and is styled, Alan Kiely v. Texas Farm Bureau Casualty Insurance Company. Kiely sued Farm Bureau in an effort to recover…
Giving Prompt Notice Of Claims
Insurance lawyers know that almost all insurance policies require that an insured provide to the insurance company, prompt notice of a claim. The purpose of this prompt notice requirement is to allow the insurance company to investigate the claim while the facts of the claim are fresh. However, if the…