The Personal Liability of Insurance Claims Adjusters for Insurance Bad Faith

Chad G. Marzen
{"title":"The Personal Liability of Insurance Claims Adjusters for Insurance Bad Faith","authors":"Chad G. Marzen","doi":"10.2139/SSRN.2562171","DOIUrl":null,"url":null,"abstract":"One of the currents of change sweeping through the insurance industry is the rise of insurance bad faith liability. There is an emerging legal question today as to whether the individual employee adjusters of insurance companies can be subject to bad faith liability.This article examines the question of whether employee-adjusters of insurance companies can and should be held liable for insurance bad faith liability. Early reported cases involving personal liability for bad faith generally held that insurance company employee adjusters were immune from bad faith claims as they were not in privity of contract with insureds. However, three significant decisions from the Montana Supreme Court (O’Fallon v. Farmers Insurance Exchange in 1993), Texas Supreme Court (Liberty Mutual Insurance Company v. Garrison Contractors, Inc. in 1998) and the West Virginia Supreme Court (Taylor v. Nationwide Mutual Insurance Company) in 2003 challenged this doctrinal rule in holding that bad faith claims can proceed against insurance company employee adjusters. Today a split has emerged among courts on the issue of whether bad faith claims can proceed against insurance company employee adjusters.This article proposes a uniform standard that courts can employ in cases where insureds allege insurance company employee adjusters act in bad faith. To keep insurance company employee adjusters fair and honest and to ensure the quasi-fiduciary nature of the insurance contract is upheld, this article contends that insurance company employee adjusters be held liable for insurance bad faith in cases where a trial court makes an evidentiary finding that an employee adjuster acts with the purposeful or actual malicious intention to prejudice the rights of an insured.","PeriodicalId":142664,"journal":{"name":"LSN: Other Regulation that Pertains to Consumer Markets (Sub-Topic)","volume":"9 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2015-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"LSN: Other Regulation that Pertains to Consumer Markets (Sub-Topic)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2139/SSRN.2562171","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

One of the currents of change sweeping through the insurance industry is the rise of insurance bad faith liability. There is an emerging legal question today as to whether the individual employee adjusters of insurance companies can be subject to bad faith liability.This article examines the question of whether employee-adjusters of insurance companies can and should be held liable for insurance bad faith liability. Early reported cases involving personal liability for bad faith generally held that insurance company employee adjusters were immune from bad faith claims as they were not in privity of contract with insureds. However, three significant decisions from the Montana Supreme Court (O’Fallon v. Farmers Insurance Exchange in 1993), Texas Supreme Court (Liberty Mutual Insurance Company v. Garrison Contractors, Inc. in 1998) and the West Virginia Supreme Court (Taylor v. Nationwide Mutual Insurance Company) in 2003 challenged this doctrinal rule in holding that bad faith claims can proceed against insurance company employee adjusters. Today a split has emerged among courts on the issue of whether bad faith claims can proceed against insurance company employee adjusters.This article proposes a uniform standard that courts can employ in cases where insureds allege insurance company employee adjusters act in bad faith. To keep insurance company employee adjusters fair and honest and to ensure the quasi-fiduciary nature of the insurance contract is upheld, this article contends that insurance company employee adjusters be held liable for insurance bad faith in cases where a trial court makes an evidentiary finding that an employee adjuster acts with the purposeful or actual malicious intention to prejudice the rights of an insured.
保险索赔理算员对保险恶意的个人责任
席卷保险行业的变化趋势之一是保险恶意责任的增加。今天出现了一个新出现的法律问题,即保险公司的个别雇员理算员是否可以承担恶意责任。本文探讨了保险公司雇员理算员是否可以和应该对保险恶意责任承担责任的问题。早期报告的涉及个人恶意责任的案件一般认为,保险公司雇员理算员不受恶意索赔的影响,因为他们没有与被保险人签订合同。然而,蒙大拿州最高法院(1993年O 'Fallon诉Farmers Insurance Exchange案)、德克萨斯州最高法院(1998年Liberty Mutual Insurance Company诉Garrison Contractors, Inc.案)和西弗吉尼亚州最高法院(2003年Taylor诉Nationwide Mutual Insurance Company案)的三个重要裁决挑战了这一理论规则,认为恶意索赔可以针对保险公司雇员理赔员进行。今天,在恶意索赔是否可以对保险公司雇员理算员提起诉讼的问题上,法院之间出现了分歧。本文提出了一个统一的标准,在被保险人指控保险公司雇员理算员有恶意行为的情况下,法院可以采用这个标准。为了保持保险公司员工理算员的公平诚实,确保保险合同的准信义性质得以维护,本文认为,在初审法院证据认定保险公司员工理算员有故意或实际恶意损害被保险人权利的情况下,保险公司员工理算员应当承担保险恶意责任。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信