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California Insurance Bad Faith Questions & Answers
1 Answer | Asked in Personal Injury, Animal / Dog Law, Health Care Law and Insurance Bad Faith for California on
Q: Hello, I want more information on going after my pet insurance “lemonade” for bad faith and false advertising. thank you

i recently took my 4 pound puppy into the vet for vomiting. doctor said he was having too many treats for his size and had a swollen liver. i was charged a bill of $1300 and Lemonade denied my claim for reimbursement because they believe vomiting is a “pre existing condition” even though that... View More

James L. Arrasmith
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answered on Jul 18, 2024

Under California law, you have the right to pursue a claim against Lemonade for bad faith and false advertising if you believe they unfairly denied your pet insurance claim. When filing a small claims case, gather all relevant documentation, including the vet's diagnosis, your insurance... View More

2 Answers | Asked in Criminal Law and Insurance Bad Faith for California on
Q: I tried to but it not a question It's against car insurance bad faith claim No accident happen
Tim Akpinar
Tim Akpinar
answered on Jul 11, 2024

Bad faith claims could be difficult - there are various grounds for bad faith. An attorney would be able to advise more definitely after reviewing the file and communications - and whether it would be cost effective to pursue. Good luck

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3 Answers | Asked in Insurance Bad Faith for California on
Q: The insurance is not following the agreement to the settlement, can I sue in bad faith?

The Insurance is supposed to give me a voucher for retraining for a new career but they have been completely ignoring me and not responding back to any of my messages.

T. Augustus Claus
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answered on Oct 5, 2023

In California, insurance companies have an implied covenant of good faith and fair dealing. If they fail to uphold this duty, policyholders or claimants might have grounds to sue for bad faith. Not following the terms of an agreed-upon settlement can be seen as an act of bad faith. However, before... View More

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4 Answers | Asked in Workers' Compensation and Insurance Bad Faith for California on
Q: Can I have a lawyer go after my Workers Comp insurance for not returning e-mails or phone calls regarding my case.

My Workers Comp insurance does not have any providers in their network to give me a second opinion on my shoulder injury. I received an email from their provider network unit that they could not find a provider and that the adjuster assigned to my case had permission to authorize for me to go to... View More

Richard  Barkhordarian
Richard Barkhordarian
answered on Aug 31, 2023

Filing for a hearing would likely help or better yet...hire a competent attorney. You have described some serious injuries. Do you know that most attorneys only charge 15% of the total settlement amount and that they cannot agree to any settlement without your permission? What are you waiting... View More

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1 Answer | Asked in Insurance Bad Faith and Contracts for California on
Q: My home and property was completely destroyed in the CZU Fire in 2020. We elected to purchase a different home instead.

Our previous home was 4000sqft on 4.3 acres. Our new home is 2200 sqft on 48 acres. We had a 25% Home Protector Clause for upgrades to building codes. If we had elected to rebuild we would have used all of the Home Protector because the price of a new build was upward of 600 sq/ft for new... View More

James L. Arrasmith
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answered on Aug 20, 2023

The change in the law regarding land value deduction should not be retroactively applied to claims from 2020. However, you may still have a valid argument for a fair settlement based on the terms of your policy and any applicable regulations at the time of the claim. Consult an attorney familiar... View More

3 Answers | Asked in Insurance Bad Faith, Consumer Law, Contracts and Construction Law for California on
Q: I hired a licensed plumber to repipe my condo. His workers set fire to my house and the damage is bad! What happens next

The actual plumber I hired was not present on the day the work was done. His workers had no one overseeing their work. They burned my entire wall down to charred 4x4s and the fire damaged my neighbors walls and attic as well. The workers left a mess of burned debris and a disaster of the house... View More

Treg A. Julander
Treg A. Julander
answered on Aug 21, 2023

If you don't get speedy and complete relief from the plumber or their insurer, you can make a claim against their license bond. If the amount left in the bond is still not enough to fully compensate you, you could file a lawsuit and seek not only the cost to repair your home but also... View More

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1 Answer | Asked in Contracts and Insurance Bad Faith for California on
Q: Two cars were vandalized outside my apartment both with full coverage by Geico. One was repaired the other put fraud on

They dropped me . No car insurance co. Will talk to me. I have never committed fraud ever. How can they make such a huge mistake ruin my record and leave my ruined car 100 miles away and told me to bring this truck. I'm 67 and totally stressed and I feel paralyzed and I believe they are be... View More

James L. Arrasmith
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answered on Aug 15, 2023

I understand the distress you're experiencing due to the situation. In California, insurance companies are obligated to act in good faith and provide reasonable communication. If your insurance company unjustifiably labeled your claim as fraudulent, leading to dropped coverage, you might have... View More

4 Answers | Asked in Insurance Bad Faith and Personal Injury for California on
Q: Can insurance company deny to pay medical bills baed on reasonable and customary fees?

I got injured in an auto accident from other driver. His insurance company doesn't want to pay my entire medical bills only a portion of it. There reason is that they owe only reasonable and customary fees. They say that medical bills are unreasonable and "inflated." It seems like... View More

William John Light
William John Light
answered on Jul 11, 2023

Until you get a judgment against the at fault driver, his insurance company can refuse to pay you anything at all, so it is certainly entitled to dispute your medical expenses.

It appears that you are attempting to handle a personal injury claim by yourself. The insurer is not taking you...
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3 Answers | Asked in Insurance Bad Faith, Car Accidents and Personal Injury for California on
Q: How does it go with when a lawyer who’s going after a insurance with 100k insurance policy But I don’t understand

How does it go with a insurance with 100k insurance policy I don’t understand they only want to give 4k in recovery and we can go after 100k But we have to have 100k worth of medical expenses to get that amount Now they researching and going after a hit and run so what would I get at the end I... View More

William John Light
William John Light
answered on Jun 28, 2023

You won't get $50k out of a $100k settlement. The attorney will take 33 1/3% to 40% as a fee. The attorney will be reimbursed for the costs incurred. The medical providers/insurer will be paid for the cost of care. At best, you will get about 1/3.

Nobody will tell you what your...
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1 Answer | Asked in Insurance Bad Faith, Medical Malpractice, Personal Injury and Wrongful Death for California on
Q: What case can you note where a CA malpractice claim can be tolled?

Need to claim a letter date than death of my husband to start the clock on a malpractice case

Tim Akpinar
Tim Akpinar
answered on Jun 19, 2023

A California attorney could advise best, but your question remains open for a week. It could sometimes be difficult to get accurate input in terms of a case citation on a public forum. Such settings can be issue and fact-specific (for example, the discovery rule, where applicable per a... View More

1 Answer | Asked in Insurance Bad Faith for California on
Q: i carry comp collision liability uninsured mortorisst. vehicle was stolen nov21 2022 mercury ins has not paid the claim.

the car was stolen from in front of my home. i immediately called the police. my insurance adjuster called to tell me they were paying out on the claim and she had set me up with another adjuster to handle disbursement of the claim. same day the vehicle was found. It was put into a tow yard in... View More

James L. Arrasmith
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answered on Jun 17, 2023

I'm sorry to hear about your situation. It sounds like a complicated and frustrating experience.

If your insurance company has not paid out on your claim, you may want to contact them to inquire about the status of your claim and why it has not been paid. You may also want to review...
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2 Answers | Asked in Car Accidents and Insurance Bad Faith for California on
Q: Should I pursue a "bad faith" lawsuit for a minor (non-injury) collision, or would nothing come out of it?

I was involved in a 3 car collision in CA that was not caused by me. The at-fault insurance company has been ignoring my calls, and it's been exactly 56 days today from the date of the incident/claim (should be resolved within 40 days in CA). I have received no communication via letter or... View More

Justin R. Heim
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Justin R. Heim
answered on Jun 9, 2023

Bad faith lawsuits are filed by an insured policyholder, not a 3rd party (unless that 3rd party has obtained a judgement against that policyholder and received an assignment of rights).

It sounds like you're saying that you're a "3rd party" that got hit by their...
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4 Answers | Asked in Car Accidents and Insurance Bad Faith for California on
Q: Is it normal for at fault insurance (not me) to deduct from my settlement amount for excessive damage for a totaled car?

My car was hit while I was parked in a parking lot, not in the car, resulting in it being damaged. Other party left a note and I made a claim on their insurance the same day. Other party’s insurance claimed fault for the accident, and once I took it to a shop, they totaled my car out. I... View More

Neil Anapol
Neil Anapol
answered on Jun 5, 2023

If you have collision coverage, make a claim on your own insurance and stop dealing with the other driver's insurer. Your insurer will total the car, pay you the fair market value, and then get the money back from the other driver's insurers including the deductible.

If you do...
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1 Answer | Asked in Insurance Bad Faith for California on
Q: I filed a complaint with the California dept of insurance about coercive antagonistic behavior from adjuster

he has all my written, visual and taped verbal answers to his questions about my claim. I don’t want him to keep contacting me with his intimidating behavior trying to convince me why he’s going to substantially reduce the claim his own assessor arrived at on examining the accident and damage... View More

James L. Arrasmith
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answered on Jun 2, 2023

In dealing with the adjuster, here are a few suggestions:

Document the Communication: Keep a record of all communication with the adjuster, including dates, times, and details of each interaction. This will help you maintain a clear record of the events and any concerning behavior exhibited...
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2 Answers | Asked in Insurance Bad Faith for California on
Q: Race Stereotype written letter from Blue Shield Medical Insurance .. That was written to me for a MD DR referral
William John Light
William John Light
answered on May 9, 2023

You haven't asked a question, or described what was was written that was stereotyped by race, or why it was medically inappropriate. Please submit a question with facts.

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1 Answer | Asked in Insurance Bad Faith for California on
Q: insurance company doesnt disclose policy info to DMV when asked to do so. Ch 5.4 Proof of coverage disclosure Penalty?
James L. Arrasmith
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answered on May 8, 2023

Under California law, insurance companies are required to disclose proof of coverage information to the Department of Motor Vehicles (DMV) when requested to do so. Failure to disclose this information can result in penalties under Chapter 5.4 of the California Vehicle Code.

Specifically, an...
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1 Answer | Asked in Health Care Law and Insurance Bad Faith for California on
Q: Looking to see if this is something even worth pursuing but I would like justice.

Managed care company . Needed specific radiation treatment recommended by neurosurgeon. Denied by insurance company, appealed. Reviewed by a "pediatrician" who agreed to not provide the treatment . Dragged their feet on authorizing my care. Reported them to the Department of Managed... View More

William John Light
William John Light
answered on May 4, 2023

Maybe. Whether it is worth looking at in detail depends on your injuries as a result of the delay or declination in coverage. Did the condition worsen? Did your recovery suffer? Do you have permanent injuries that you would not have had if the radiation had been approved in a timely manner?

1 Answer | Asked in Insurance Bad Faith for California on
Q: Backing up a vehicle out of a residential driveway What is the vehicle code number
James L. Arrasmith
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answered on Apr 12, 2023

In California, the vehicle code number for backing up a vehicle out of a residential driveway is Vehicle Code 22106. This code states that a driver may not back up a vehicle unless it can be done safely and without interfering with other traffic. Additionally, the driver must yield to any... View More

2 Answers | Asked in Insurance Bad Faith for California on
Q: I need a lawyer from Northern California silicon valley area for cancellation of insurance from homelessness
Tim Akpinar
Tim Akpinar
answered on Mar 21, 2023

In addition to your own searches and the resources of local and state bar associations, there is the tab above, Find a Lawyer. It lists law firms by region and practice area. Good luck

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1 Answer | Asked in Insurance Bad Faith for California on
Q: Can your vehicle insurance company cancel you because you are homeless
James L. Arrasmith
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answered on Feb 28, 2023

No, a vehicle insurance company cannot cancel your insurance policy solely because you are homeless in California. The California Department of Insurance considers it discriminatory to cancel or refuse to issue a policy based on a person's housing status. Insurance companies in California are... View More

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