Templates Demand Letters Insurance Bad Faith Demand Letter - District of Columbia
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INSURANCE BAD FAITH DEMAND LETTER

State of District of Columbia


[LAW FIRM LETTERHEAD]

PRIVILEGED AND CONFIDENTIAL
SETTLEMENT COMMUNICATION - FOR RESOLUTION PURPOSES ONLY
PROTECTED UNDER DC RULES OF EVIDENCE AND F.R.E. 408


VIA CERTIFIED MAIL, RETURN RECEIPT REQUESTED
AND VIA EMAIL TO: [ADJUSTER_EMAIL]

Date: [DATE]

[INSURANCE_COMPANY_NAME]
[CLAIMS_DEPARTMENT_ADDRESS]
[CITY], [STATE] [ZIP]

Attention: [ADJUSTER_NAME], [ADJUSTER_TITLE]
Re: FORMAL BAD FAITH DEMAND - DISTRICT OF COLUMBIA LAW
Insured: [INSURED_NAME]
Claimant: [CLAIMANT_NAME]
Policy Number: [POLICY_NUMBER]
Claim Number: [CLAIM_NUMBER]
Date of Loss: [DATE_OF_LOSS]
Policy Limits: [POLICY_LIMITS]
Response Deadline: [RESPONSE_DEADLINE] (This is a Time-Limited Demand)


Dear [ADJUSTER_NAME]:

I. INTRODUCTION AND NATURE OF DEMAND

This firm represents [CLIENT_NAME] ("our client") in connection with the above-referenced insurance claim arising under the laws of District of Columbia. This letter constitutes a formal demand for payment of policy benefits wrongfully withheld and serves as notice of [INSURANCE_COMPANY_NAME]'s ("the Company" or "[CARRIER_SHORT_NAME]") bad faith conduct in handling our client's claim under District of Columbia law.

As a seasoned insurance litigator with decades of experience representing policyholders against major carriers in District of Columbia, I am well aware of the Company's obligations under D.C. Code Title 31 and District of Columbia common law. The Company's conduct in this matter constitutes a textbook example of bad faith claims practices that District of Columbia courts routinely punish with substantial damages.

This is a time-limited demand. The Company has until [RESPONSE_DEADLINE] to tender the full amount owed of $[DEMAND_AMOUNT] and resolve all claims arising from this loss. Failure to do so will result in immediate litigation seeking all available remedies under District of Columbia law.


II. DISTRICT OF COLUMBIA BAD FAITH LAW

A. Legal Standard

The District of Columbia recognizes common law bad faith. Insurer must deal fairly and in good faith. Bad faith exists when insurer unreasonably refuses to pay valid claim. Choharis v. State Farm Fire & Cas. Co., 961 A.2d 1080 (D.C. 2008).

B. Available Damages Under District of Columbia Law

Under District of Columbia law, our client is entitled to recover:

Compensatory damages, consequential damages, emotional distress, and punitive damages

C. Punitive Damages Standard

Malice, wanton conduct, or reckless disregard for rights

D. Attorney's Fees

Generally follows American Rule


III. POLICY INFORMATION AND COVERAGE

A. Policy Details

Item Information
Named Insured [INSURED_NAME]
Policy Number [POLICY_NUMBER]
Policy Period [POLICY_PERIOD_START] to [POLICY_PERIOD_END]
Policy Type [POLICY_TYPE]
Applicable Coverage [COVERAGE_TYPE]
Per-Occurrence Limit [PER_OCCURRENCE_LIMIT]
Aggregate Limit [AGGREGATE_LIMIT]
Deductible [DEDUCTIBLE_AMOUNT]

B. Coverage Analysis

The policy provides coverage for [DESCRIBE_COVERED_LOSS_TYPE]. The loss clearly falls within the policy's insuring agreement under District of Columbia law interpretation principles.

[CARRIER_SHORT_NAME] has acknowledged coverage by [DESCRIBE_COVERAGE_ACKNOWLEDGMENT]. Having accepted coverage, the Company is obligated under District of Columbia law to:

  • Conduct a thorough, fair, and objective investigation
  • Evaluate the claim in good faith
  • Promptly pay all amounts owed under the policy
  • Communicate honestly and transparently with the insured
  • Avoid unreasonable delays in claim handling
  • Refrain from compelling litigation through unreasonable conduct

IV. FACTUAL BACKGROUND AND CLAIM HISTORY

A. The Underlying Loss

On [DATE_OF_LOSS], [DESCRIBE_LOSS_EVENT_IN_DETAIL].

[ADDITIONAL_LOSS_DETAILS]

B. Chronological Timeline of Bad Faith Conduct

Date Event Bad Faith Indicator
[DATE_1] [EVENT_1] [INDICATOR_1]
[DATE_2] [EVENT_2] [INDICATOR_2]
[DATE_3] [EVENT_3] [INDICATOR_3]
[DATE_4] [EVENT_4] [INDICATOR_4]
[DATE_5] [EVENT_5] [INDICATOR_5]
[DATE_6] [EVENT_6] [INDICATOR_6]

V. SPECIFIC BAD FAITH CONDUCT

[CARRIER_SHORT_NAME]'s handling of this claim violates both the express and implied covenants of good faith and fair dealing recognized under District of Columbia law:

A. Unreasonable Delay

The Company has unreasonably delayed the investigation, evaluation, and payment of this claim in violation of District of Columbia law:

  • [DESCRIBE_SPECIFIC_DELAY_1]
  • [DESCRIBE_SPECIFIC_DELAY_2]
  • [DESCRIBE_SPECIFIC_DELAY_3]

B. Inadequate Investigation

[CARRIER_SHORT_NAME] failed to conduct the thorough, fair, and objective investigation required under District of Columbia law:

  • [INVESTIGATION_FAILURE_1]
  • [INVESTIGATION_FAILURE_2]
  • [INVESTIGATION_FAILURE_3]

C. Unreasonable Settlement Offers

The Company's settlement offers have been grossly inadequate:

Date Offer Amount Actual Value Discrepancy
[DATE_A] [OFFER_A] [VALUE_A] [DISCREPANCY_A]
[DATE_B] [OFFER_B] [VALUE_B] [DISCREPANCY_B]

D. Misrepresentation of Policy Provisions

[DESCRIBE_MISREPRESENTATIONS]

E. Failure to Communicate

[DESCRIBE_COMMUNICATION_FAILURES]


VI. STATUTORY VIOLATIONS

A. District of Columbia Unfair Claims Settlement Practices Act

[CARRIER_SHORT_NAME]'s conduct violates D.C. Code 31-2231.17, which prohibits:

  • Misrepresenting pertinent facts or insurance policy provisions relating to coverages at issue
  • Failing to acknowledge and act reasonably promptly upon communications with respect to claims
  • Failing to adopt and implement reasonable standards for the prompt investigation of claims
  • Refusing to pay claims without conducting a reasonable investigation
  • Not attempting in good faith to effectuate prompt, fair, and equitable settlements of claims in which liability has become reasonably clear
  • Compelling insureds to institute litigation to recover amounts due under an insurance policy by offering substantially less than the amounts ultimately recovered
  • Attempting to settle a claim for less than the amount to which a reasonable person would have believed he or she was entitled
  • Failing to promptly provide a reasonable explanation of the basis in the policy for denial or inadequate offer

B. District of Columbia Prompt Payment Requirements

[CARRIER_SHORT_NAME] has violated D.C. Code 31-2231.17 - Unfair claims settlement practices by:

  • [SPECIFIC_PROMPT_PAYMENT_VIOLATION_1]
  • [SPECIFIC_PROMPT_PAYMENT_VIOLATION_2]
  • [SPECIFIC_PROMPT_PAYMENT_VIOLATION_3]

VII. DAMAGES

A. Contract Damages

Category Amount
Policy Benefits Owed $[AMOUNT]
Less Amounts Paid ($[AMOUNT_PAID])
Net Policy Benefits Due $[NET_AMOUNT]

B. Consequential Damages

Category Amount
[CONSEQUENTIAL_CATEGORY_1] $[AMOUNT_1]
[CONSEQUENTIAL_CATEGORY_2] $[AMOUNT_2]
[CONSEQUENTIAL_CATEGORY_3] $[AMOUNT_3]
Total Consequential Damages $[TOTAL_CONSEQUENTIAL]

C. Emotional Distress Damages

[DESCRIBE_EMOTIONAL_DISTRESS_IF_RECOVERABLE_UNDER_DC_LAW]

D. Punitive/Exemplary Damages

Under District of Columbia law, punitive damages require: Malice, wanton conduct, or reckless disregard for rights

The Company's conduct meets this standard because [DESCRIBE_AGGRAVATING_FACTORS].

E. Statutory Penalties

Under District of Columbia law, our client is entitled to:

[STATE_SPECIFIC_STATUTORY_PENALTIES]


VIII. DEMAND

Based on the foregoing, we hereby demand that [CARRIER_SHORT_NAME]:

A. Monetary Demand

Pay the total sum of $[TOTAL_DEMAND_AMOUNT] as follows:

Component Amount
Policy Benefits $[POLICY_BENEFITS]
Statutory Interest/Penalties $[STATUTORY_INTEREST]
Consequential Damages $[CONSEQUENTIAL_DAMAGES]
TOTAL DEMAND $[TOTAL_DEMAND_AMOUNT]

B. Settlement Terms

In addition to the monetary payment:

  • Full and complete release of all claims by [CARRIER_SHORT_NAME] against our client
  • Confidentiality agreement regarding settlement terms (optional)
  • Correction of any adverse information reported to industry databases

IX. TIME-LIMITED NATURE OF THIS DEMAND

THIS DEMAND EXPIRES AT 5:00 P.M. [TIME_ZONE] ON [RESPONSE_DEADLINE].

Consequences of Non-Response

If [CARRIER_SHORT_NAME] fails to accept this demand by the deadline:

  1. Litigation will be filed immediately in District of Columbia seeking all available remedies

  2. This demand will be withdrawn and our client will seek:
    - Full policy benefits plus prejudgment interest
    - All consequential and emotional distress damages
    - Punitive damages without limitation
    - Attorney's fees and costs
    - All statutory penalties under District of Columbia law

  3. Regulatory complaints will be filed with:
    - D.C. Department of Insurance, Securities and Banking, 1050 First Street NE, Suite 801, Washington, DC 20002
    - National Association of Insurance Commissioners


X. DOCUMENT PRESERVATION NOTICE

This letter constitutes formal notice to preserve all documents and electronically stored information related to this claim, including but not limited to:

  • The complete claim file, including all versions and drafts
  • All internal communications regarding this claim
  • All communications with the insured/claimant
  • Adjuster notes, diaries, and activity logs
  • All documents received from or sent to the insured/claimant
  • All photographs, videos, and inspection reports
  • All expert reports, estimates, and evaluations
  • Claim handling guidelines, manuals, and procedures
  • Training materials relevant to this type of claim
  • Reserve information and reserve change documentation
  • Supervisor notes and approvals
  • Quality assurance or audit reports

XI. CONCLUSION

[CARRIER_SHORT_NAME]'s handling of this claim represents precisely the type of conduct that District of Columbia bad faith laws were enacted to prevent and punish. We strongly encourage the Company to use this opportunity to resolve this matter fairly under District of Columbia law.

Please direct all communications regarding this matter to the undersigned.

Respectfully submitted,

[LAW_FIRM_NAME]

By: _______________________________
[ATTORNEY_NAME]
[BAR_NUMBER]
[ADDRESS]
[CITY], DC [ZIP]
[PHONE]
[FAX]
[EMAIL]

Counsel for [CLIENT_NAME]


ENCLOSURES:
- Policy declarations page
- Relevant policy provisions
- Claim correspondence chronology
- Damage documentation
- Expert reports (if applicable)

CC:
- [CLIENT_NAME]
- D.C. Department of Insurance, Securities and Banking, 1050 First Street NE, Suite 801, Washington, DC 20002 (via complaint filing)


DISTRICT OF COLUMBIA LAW QUICK REFERENCE

Element District of Columbia Law
Bad Faith Type Common Law
Governing Statute D.C. Code Title 31
Unfair Practices Act D.C. Code 31-2231.17
Prompt Payment D.C. Code 31-2231.17 - Unfair claims settlement practices
Punitive Standard Malice, wanton conduct, or reckless disregard for rights
Attorney Fees Generally follows American Rule
DOI Address D.C. Department of Insurance, Securities and Banking, 1050 First Street NE, Suite 801, Washington, DC 20002
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Insurance Bad Faith Demand Letter - District of Columbia

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