INSURANCE BAD FAITH DEMAND LETTER
State of Louisiana
[LAW FIRM LETTERHEAD]
PRIVILEGED AND CONFIDENTIAL
SETTLEMENT COMMUNICATION - FOR RESOLUTION PURPOSES ONLY
PROTECTED UNDER LA 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 - LOUISIANA 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 Louisiana. 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 Louisiana law.
As a seasoned insurance litigator with decades of experience representing policyholders against major carriers in Louisiana, I am well aware of the Company's obligations under La. Rev. Stat. Title 22 and Louisiana common law. The Company's conduct in this matter constitutes a textbook example of bad faith claims practices that Louisiana 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 Louisiana law.
II. LOUISIANA BAD FAITH LAW
A. Legal Standard
Louisiana provides specific statutory remedies under La. R.S. 22:1892 (failure to pay) and 22:1973 (bad faith breach). Insurer must pay undisputed amounts within 30 days. Penalties for arbitrary/capricious failure to pay include 50% of amount due or $1,000. Attorney fees recoverable.
B. Available Damages Under Louisiana Law
Under Louisiana law, our client is entitled to recover:
50% penalty on amount due (or $1,000 minimum) plus attorney fees under La. R.S. 22:1892; reasonable damages plus attorney fees under La. R.S. 22:1973
C. Punitive Damages Standard
Arbitrary, capricious, or without probable cause (statutory standard)
D. Attorney's Fees
Recoverable under La. R.S. 22:1892 and 22:1973
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 Louisiana law interpretation principles.
[CARRIER_SHORT_NAME] has acknowledged coverage by [DESCRIBE_COVERAGE_ACKNOWLEDGMENT]. Having accepted coverage, the Company is obligated under Louisiana 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 Louisiana law:
A. Unreasonable Delay
The Company has unreasonably delayed the investigation, evaluation, and payment of this claim in violation of Louisiana 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 Louisiana 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. Louisiana Unfair Claims Settlement Practices Act
[CARRIER_SHORT_NAME]'s conduct violates La. R.S. 22:1961 et seq., 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. Louisiana Prompt Payment Requirements
[CARRIER_SHORT_NAME] has violated La. R.S. 22:1892 - 30 days to pay undisputed amounts; penalties for failure 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_LA_LAW]
D. Punitive/Exemplary Damages
Under Louisiana law, punitive damages require: Arbitrary, capricious, or without probable cause (statutory standard)
The Company's conduct meets this standard because [DESCRIBE_AGGRAVATING_FACTORS].
E. Statutory Penalties
Under Louisiana 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:
-
Litigation will be filed immediately in Louisiana seeking all available remedies
-
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 Louisiana law -
Regulatory complaints will be filed with:
- Louisiana Department of Insurance, P.O. Box 94214, Baton Rouge, LA 70804
- 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 Louisiana bad faith laws were enacted to prevent and punish. We strongly encourage the Company to use this opportunity to resolve this matter fairly under Louisiana law.
Please direct all communications regarding this matter to the undersigned.
Respectfully submitted,
[LAW_FIRM_NAME]
By: _______________________________
[ATTORNEY_NAME]
[BAR_NUMBER]
[ADDRESS]
[CITY], LA [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]
- Louisiana Department of Insurance, P.O. Box 94214, Baton Rouge, LA 70804 (via complaint filing)
LOUISIANA LAW QUICK REFERENCE
| Element | Louisiana Law |
|---|---|
| Bad Faith Type | Statutory |
| Governing Statute | La. Rev. Stat. Title 22 |
| Unfair Practices Act | La. R.S. 22:1961 et seq. |
| Prompt Payment | La. R.S. 22:1892 - 30 days to pay undisputed amounts; penalties for failure |
| Punitive Standard | Arbitrary, capricious, or without probable cause (statutory standard) |
| Attorney Fees | Recoverable under La. R.S. 22:1892 and 22:1973 |
| DOI Address | Louisiana Department of Insurance, P.O. Box 94214, Baton Rouge, LA 70804 |