Insurance Bad Faith Demand Letter - Texas

Texas Demand Letters Updated November 5, 2026 Free Word and PDF

INSURANCE BAD FAITH DEMAND LETTER

State of Texas


[LAW FIRM LETTERHEAD]

SETTLEMENT COMMUNICATION — FOR RESOLUTION PURPOSES ONLY
TEX. R. EVID. 408 / FED. R. EVID. 408 MAY LIMIT SPECIFIED USES OF DISPUTED-CLAIM NEGOTIATIONS; THEY DO NOT CREATE A GENERAL PRIVILEGE


NOTICE OF APPLICABLE DEMAND TYPE — SELECT AND CONFIRM BEFORE SENDING:

☐ STOWERS DEMAND (Third-Party / Liability Claims): This letter constitutes a formal Stowers demand under G.A. Stowers Furniture Co. v. Am. Indem. Co., 15 S.W.2d 544 (Tex. Comm. App. 1929). The demand is for a specific sum certain within policy limits, proposes a full and unconditional release of the insured, and provides a reasonable time to accept (minimum 30 days recommended). If the insurer unreasonably refuses a valid Stowers demand and a judgment in excess of policy limits is rendered, the insurer is liable for the entire judgment including the excess.

☐ FIRST-PARTY BAD FAITH DEMAND (Ch. 541 / 542): This letter constitutes notice of statutory bad faith under Tex. Ins. Code Ch. 541 and Ch. 542 in connection with first-party insurance benefits owed directly to the insured. For a Chapter 541 damages action, give the notice required by § 541.154 no later than the 61st day before suit, unless its statutory exception applies.

☐ CHAPTER 542A PRE-SUIT NOTICE (Weather Claims): This letter also serves as the mandatory 61-day pre-suit notice under Tex. Ins. Code § 542A.003. Suit may not be filed until 61 days after the date of this letter. See Section VIII for required Ch. 542A disclosures.


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

Date: [__/__/____]

[INSURANCE COMPANY FULL LEGAL NAME]
[________________________________] (Attn: Claims Department / Legal Department)
[________________________________]
[________________________________], TX [________]

Attention: [________________________________], [________________________________] (Title)
Re: FORMAL BAD FAITH DEMAND — TEXAS INSURANCE CODE CHAPTERS 541 AND 542
Insured: [________________________________]
Claimant: [________________________________]
Policy Number: [________________________________]
Claim Number: [________________________________]
Date of Loss: [__/__/____]
Type of Claim: [________________________________]
Policy Limits: $[________________________________] per occurrence / $[________________________________] aggregate
Amount Demanded: $[________________________________]
Response Deadline: [__/__/____] at 5:00 p.m. Central Time
(This is a TIME-LIMITED DEMAND. The Company's failure to respond by the deadline has significant legal consequences under Texas law.)


Dear [________________________________]:

I. INTRODUCTION AND NATURE OF DEMAND

This firm represents [________________________________] ("our client") in connection with the above-referenced insurance claim. This letter constitutes a formal demand for payment of all benefits wrongfully withheld and serves as notice of [________________________________]'s ("the Company") bad faith and statutory violations in its handling of this claim under the laws of Texas.

This is a time-limited demand. The Company has until [__/__/____] at 5:00 p.m. Central Time to tender $[________________________________] and resolve all claims arising from this matter. If unresolved, our client may file suit after any applicable pre-suit notice period, seeking available remedies under Texas law, including actual damages, interest at the applicable § 542.060 rate, treble damages for knowing violations, punitive / exemplary damages, and attorneys' fees.

The Company's conduct in handling this claim is not an isolated oversight — it is a systematic pattern of [________________________________] that violates express statutory obligations, the Texas common law duty of good faith, and the Company's own contractual undertakings to our client.


II. TEXAS BAD FAITH LEGAL FRAMEWORK

A. Common Law Bad Faith — Universe Life Ins. Co. v. Giles

The Texas Supreme Court established the definitive common law bad faith standard in Universe Life Ins. Co. v. Giles, 950 S.W.2d 48 (Tex. 1997). An insurer breaches its duty of good faith and fair dealing when:

(1) the insurer's liability to perform its contractual obligation was reasonably clear at the time of the conduct alleged as a breach; and

(2) the insurer, at the time of that conduct, knew or should have known of that reasonable clarity.

Both elements must be established. The test is objective: the insurer cannot escape liability by claiming subjective uncertainty when the facts and law rendered the claim's validity reasonably apparent.

B. Unfair Settlement Practices — Tex. Ins. Code § 541.060 (Nine Enumerated Practices)

Section 541.060(a) identifies the following unfair settlement practices with respect to a claim by an insured or beneficiary. Subsection (b) says subsection (a) does not provide a cause of action to a third party asserting claims against an insured under a liability policy. Separate §§ 541.151-.152 standing and remedy requirements remain.

# Prohibited Conduct § 541.060(a)
1 Misrepresenting a material fact or policy provision relating to coverage (a)(1)
2 Failing to attempt in good faith to effectuate a prompt, fair, and equitable settlement when liability is reasonably clear (a)(2)
3 Failing to promptly provide a reasonable explanation of the basis for denial or compromise offer (a)(3)
4 Failing within a reasonable time to affirm or deny coverage of a claim to a policyholder, or submit a reservation of rights (a)(4)
5 Refusing, failing, or unreasonably delaying a settlement offer on first-party coverage because other coverage may be available (a)(5)
6 Undertaking to enforce a full release when only partial payment has been made (unless it is a compromise of a disputed claim) (a)(6)
7 Refusing to pay a claim without conducting a reasonable investigation (a)(7)
8 Delaying or refusing settlement of a personal auto claim solely because other insurance may be available (a)(8)
9 Requiring a claimant to produce federal income tax returns as a condition of settling a claim (a)(9)

Available remedies under § 541.152:

  • Actual damages caused by a proven Chapter 541 violation
  • Up to 3× actual damages if the Chapter 541 violation was knowing
  • Reasonable and necessary attorneys' fees for a prevailing Chapter 541 plaintiff, subject to applicable Chapter 542A limits for covered actions
  • Court costs

"Knowing" means the Company, at the time of the act or practice, had actual awareness of the falsity, deception, or unfairness of the act or practice. Tex. Ins. Code § 541.002(1).

C. The Menchaca Five-Rule Framework

USAA Tex. Lloyds Co. v. Menchaca, 545 S.W.3d 479 (Tex. 2018) is the controlling Texas Supreme Court authority governing the relationship between contractual and extracontractual insurance claims. The Court articulated five interrelated rules:

Rule 1 — The General Rule: An insured cannot recover policy benefits as damages for an insurer's Ch. 541 violation if the policy does not provide the insured a right to those benefits.

Rule 2 — The Entitled-to-Benefits Rule: An insured who establishes a right to receive policy benefits can recover those benefits as actual damages under Ch. 541 if the insurer's statutory violation caused the loss of those benefits.

Rule 3 — The Benefits-Lost Rule: Even if the insured cannot establish a present contractual right to benefits, the insured can recover benefits as actual damages under Ch. 541 if the insurer's statutory violation caused the insured to lose the contractual right (e.g., insurer's conduct caused a limitations bar).

Rule 4 — The Independent-Injury Rule: An insured may recover actual damages for an injury that is independent of and not solely the loss of policy benefits caused by the insurer's Ch. 541 violation — even if no policy breach is established.

Rule 5 — The No-Recovery Rule: If the insured has no right to policy benefits and the insurer's statutory violation caused no independent injury, the insured generally cannot recover damages for that violation. Assess Rule 3 separately where the insurer's violation caused the insured to lose a contractual right to benefits. See Ortiz v. State Farm Lloyds, 589 S.W.3d 127 (Tex. 2019) (applying Menchaca).

In this case, Rules [____] and [____] apply because: [________________________________].

D. Prompt Payment of Claims Act — Tex. Ins. Code Ch. 542

The Texas Prompt Payment Act establishes claim-handling deadlines that vary for eligible surplus lines insurers and certain other situations:

Obligation Deadline Statute
Acknowledge claim; commence investigation; request all necessary information 15 calendar days after notice; 30 business days for an eligible surplus lines insurer § 542.055(a)
Accept or deny the claim in writing Generally 15 business days after receiving final proof of loss; if the insurer timely gives reasons for needing more time, no later than the 45th calendar day after that notice § 542.056(a), (d)
Pay accepted claim 5 business days after notice of acceptance or completion of a required claimant act; 20 business days for an eligible surplus lines insurer § 542.057
Weather-related catastrophe or major natural disaster, as defined by the commissioner Claim-handling deadlines extended 15 additional days § 542.059(b)

Penalty — § 542.060: Violation of Ch. 542 entitles the claimant to the full claim amount plus interest at the applicable § 542.060 rate from the date payment was due plus attorneys' fees. No showing of bad intent is required. The annual rate is 18% under § 542.060(a), but § 542.060(c) sets a different rate for covered Chapter 542A actions.

E. Stowers Doctrine (Third-Party / Liability Claims Only)

G.A. Stowers Furniture Co. v. Am. Indem. Co., 15 S.W.2d 544 (Tex. Comm. App. 1929) imposes a duty of ordinary care on liability insurers to accept reasonable settlement demands within policy limits when a reasonably prudent insurer would do so. A valid Stowers demand requires:

  1. Sum certain within policy limits (or a specific amount below limits);
  2. Full and unconditional release of the insured from the claimant;
  3. Reasonable time to respond (typically at least 30 days);
  4. Unambiguous terms — vague or conditional demands do not trigger Stowers.

If the insurer unreasonably refuses a valid Stowers demand and the claimant subsequently obtains a judgment in excess of the policy limits, the insurer is liable for the entire judgment, including the excess above policy limits, as damages to the insured.

F. DTPA Tie-In — Tex. Ins. Code § 541.151 / Tex. Bus. & Com. Code § 17.50

Section 541.151 allows a Chapter 541 damages action for specified DTPA § 17.46(b) acts when the claimant relied on the act to the claimant's detriment. Separately, § 17.50(a)(4) allows a qualifying consumer to pursue a DTPA action for a Chapter 541 violation that produced the required injury. For an established DTPA claim, available relief may include:

  • Economic damages;
  • Mental anguish damages (for knowing violations);
  • Additional damages the trier may award up to 3× economic damages for knowing violations — Tex. Bus. & Com. Code § 17.50(b)(1);
  • Attorneys' fees — Tex. Bus. & Com. Code § 17.50(d).

A violation is knowing under the DTPA when committed with the actual awareness defined in § 17.45(9). "Intentional" carries § 17.45(13)'s distinct actual-awareness and specific-intent elements. Any additional-damages award is discretionary with the trier and subject to § 17.50(b)(1)'s separate ceilings.

G. Exemplary / Punitive Damages — Tex. Civ. Prac. & Rem. Code § 41.003

Exemplary damages require proof by clear and convincing evidence that the harm resulted from:

  • Fraud — misrepresentation made with knowledge of its falsity or with reckless disregard;
  • Malice — specific intent to cause substantial injury; or
  • Gross Negligence — act or omission involving an extreme degree of risk, with actual, subjective awareness of the risk and conscious indifference to the rights, safety, or welfare of others.

Cap: Under § 41.008, exemplary damages may not exceed the greater of: (1) two times the amount of economic damages plus an amount equal to non-economic damages up to $750,000; or (2) $200,000. Special caps apply to some insurance entities.

The Company's conduct meets the gross negligence standard because: [________________________________].


III. POLICY INFORMATION

Item Information
Named Insured [________________________________]
Policy Number [________________________________]
Policy Type ☐ Homeowner ☐ Auto ☐ Commercial General Liability ☐ Life ☐ Health ☐ Disability ☐ [________________________________]
Policy Period [__/__/____] to [__/__/____]
Applicable Coverage [________________________________]
Per-Occurrence / Per-Person Limit $[________________________________]
Aggregate Limit $[________________________________]
Deductible / SIR $[________________________________]
TDI Certificate of Authority No. [________________________________]

IV. FACTUAL BACKGROUND

A. The Underlying Loss

On [__/__/____], [________________________________].

[________________________________]
(Provide a detailed, specific narrative of the loss event, the damages sustained, and all efforts to make a claim.)

B. Why Coverage Is Clearly Owed

The loss is covered under the policy because:

  1. [________________________________] (The cause of loss falls within the insuring agreement.)
  2. [________________________________] (No valid exclusion applies, or any stated exclusion is inapplicable because [________________________________].)
  3. [________________________________] (All policy conditions — notice, cooperation, proof of loss — have been satisfied.)
  4. [________________________________] (The Company's own investigation confirmed coverage on [__/__/____] when [________________________________].)

C. Chronological Record of Bad Faith Conduct

The following timeline documents the Company's pattern of misconduct. Each entry identifies the specific statutory or common law obligation violated:

Date Event Statutory / Legal Violation
[__/__/____] Loss occurred; claim reported to the Company —
[__/__/____] § 542.055 acknowledgment deadline ([15 calendar / eligible surplus lines: 30 business] days) [☐ Met on time / ☐ VIOLATED — no acknowledgment until [__/__/____]]
[__/__/____] [________________________________] [________________________________]
[__/__/____] [________________________________] [________________________________]
[__/__/____] § 542.056 deadline to accept/deny [☐ Met on time / ☐ VIOLATED — [________________________________]]
[__/__/____] § 542.057 payment deadline ([5 / eligible surplus lines: 20] business days after notice or required claimant act) [☐ Met on time / ☐ VIOLATED — payment not made as of [__/__/____]]
[__/__/____] [________________________________] [________________________________]
[__/__/____] [________________________________] [________________________________]
[__/__/____] Date of this demand —

V. SPECIFIC BAD FAITH CONDUCT

A. Unreasonable Delay in Investigation and Payment

The Company has violated § 541.060(a)(2) and § 542.055–.060 by:

☐ Failing to acknowledge receipt within [15 calendar days / eligible surplus lines: 30 business days] after notice — § 542.055(a)
☐ Failing to assign an adjuster for [____] days after the claim was reported
☐ Failing to inspect the insured property / damage for [____] days
☐ Requesting unnecessary and repetitive documentation to manufacture delay
☐ Assigning and then reassigning adjusters [____] times without explanation, resetting the investigation each time
☐ Failing to respond to written correspondence dated [__/__/____], [__/__/____], and [__/__/____]
☐ [________________________________]

B. Inadequate and Pretextual Investigation

The Company violated § 541.060(a)(7) (refusal to pay without reasonable investigation) by:

☐ Relying on an inadequate desk inspection rather than a field inspection
☐ Using an adjuster or engineer with an undisclosed financial incentive to minimize the loss
☐ Ignoring the findings of [________________________________], our client's independent expert, without explanation
☐ Selectively applying coverage exclusions without investigating whether the exclusion actually applies to the specific facts
☐ Failing to obtain weather/storm data readily available from the National Weather Service
☐ [________________________________]

C. Misrepresentation of Policy Provisions — § 541.060(a)(1)

The Company violated § 541.060(a)(1) by:

☐ Misrepresenting that the loss is excluded under [________________________________] when the policy language does not support that interpretation
☐ Failing to disclose that the policy provides [________________________________] coverage for this type of loss
☐ Representing to our client that no coverage exists when the Company had internally acknowledged coverage: [________________________________]
☐ Misapplying the deductible as $[________________________________] when the correct deductible is $[________________________________]
☐ [________________________________]

D. Failure to Provide Reasonable Explanation — § 541.060(a)(3)

☐ The Company's denial letter dated [__/__/____] failed to cite the specific policy language on which the denial was based
☐ The Company's inadequate settlement offer of $[________________________________] was not accompanied by any written explanation of its valuation methodology
☐ The Company has refused to provide its adjuster's complete field notes and estimate despite our client's request
☐ [________________________________]

E. Low Offers and Litigation — § 542.003(b)(5)

The Company has offered $[____] on a claimed amount of $[____]. If a policyholder is compelled to sue and ultimately recovers substantially more, the conduct may be reported to the Texas Department of Insurance under § 542.003(b)(5). A private claim under § 541.060(a)(2)(A) requires separate proof that the insurer failed to attempt a prompt, fair, and equitable settlement after its liability became reasonably clear:

☐ The Company has known since [__/__/____] that our client's damages total at least $[________________________________], yet has offered only $[________________________________] — a discrepancy of $[________________________________]
☐ The Company's settlement offers are not the product of a good-faith evaluation but of an internal policy to minimize payments: [________________________________]
☐ [________________________________]

F. Stowers Violations (Third-Party Claims Only)

(Complete this section only for third-party liability claims where the Company is defending an insured.)

On [__/__/____], our firm transmitted a formal Stowers demand to the Company's defense counsel on behalf of [________________________________] (the claimant). That demand:

  1. Was for $[________________________________], which is [☐ equal to / ☐ below] the policy limits of $[________________________________];
  2. Proposed a full and unconditional release of the insured, [________________________________];
  3. Provided [____] days to accept (deadline: [__/__/____]); and
  4. Was stated in unambiguous terms.

The demand constituted a valid Stowers demand. The Company [☐ failed to respond / ☐ rejected the demand on [__/__/____] by [________________________________]].

As a direct result of the Company's unreasonable refusal, [☐ a verdict has been returned / ☐ judgment has been entered] against the insured in the amount of $[________________________________] — $[________________________________] in excess of the policy limits.

If the elements of the Stowers doctrine are established, the insured may have a claim against the Company for the excess judgment. Our client asserts that claim only if the insured has executed a valid assignment or a court order has transferred the claim. [IDENTIFY AND ATTACH THE ASSIGNMENT OR ORDER, IF APPLICABLE: ________________________________].


VI. DOCUMENTED DAMAGES

A. Contract / Policy Benefits

Category Amount Owed Amount Paid Balance Due
[________________________________] $[________________________________] $[________________________________] $[________________________________]
[________________________________] $[________________________________] $[________________________________] $[________________________________]
Withheld RCV depreciation holdback $[________________________________] — $[________________________________]
Total Policy Benefits Due $[________________________________]

B. Statutory Penalty Interest — § 542.060

Period Overdue Amount Days Overdue Applicable Annual Rate Accrued Interest
[__/__/____] – [__/__/____] $[________________________________] [____] [____]% p.a. $[________________________________]
[__/__/____] – [__/__/____] $[________________________________] [____] [____]% p.a. $[________________________________]
TOTAL ACCRUED § 542.060 INTEREST $[________________________________]

Interest continues to accrue at approximately $[________________________________] per day until payment is made.

C. Consequential / Out-of-Pocket Damages

Damages flowing directly from the Company's unreasonable conduct, independent of policy benefits:

Category Description Amount
[________________________________] [________________________________] $[________________________________]
[________________________________] [________________________________] $[________________________________]
[________________________________] [________________________________] $[________________________________]
Additional living expenses caused by delay [________________________________] $[________________________________]
Business interruption losses caused by delay [________________________________] $[________________________________]
TOTAL CONSEQUENTIAL DAMAGES $[________________________________]

D. Mental Anguish

Under Texas law, mental anguish damages are recoverable in bad faith cases where the insured suffers a high degree of mental pain and distress, beyond mere worry or anxiety. Parkway Co. v. Woodruff, 901 S.W.2d 434 (Tex. 1995).

Our client has suffered:

[________________________________]
(Describe specific, concrete impacts — inability to sleep, medical treatment for anxiety or depression, financial distress, family disruption, loss of home or vehicle, physical manifestations of emotional distress, etc. Vague allegations are insufficient under Texas law.)

Mental Anguish Damages Claimed: $[________________________________]

E. Treble / Exemplary Damages

Treble Damages — § 541.152(b) / Tex. Bus. & Com. Code § 17.50(b)(1):

The Company's conduct was knowing within the meaning of Tex. Ins. Code § 541.002(1) because: [________________________________]. If each predicate is proved, our client will request the additional damages the trier is authorized to award under the applicable statute. Do not calculate or combine Insurance Code and DTPA enhancements without a claim-specific election and double-recovery analysis.

Exemplary Damages — Tex. Civ. Prac. & Rem. Code § 41.003:

The Company's conduct rises to the level of gross negligence / malice / fraud because: [________________________________]. Our client will seek exemplary damages to deter the Company from engaging in this conduct toward other Texas policyholders.

Exemplary damages are capped under § 41.008 at the greater of: (a) 2× economic damages + non-economic damages up to $750,000; or (b) $200,000.

F. Attorneys' Fees

Reasonable and necessary attorneys' fees may be recoverable under the applicable route:

  • Tex. Ins. Code § 541.152(a)(1) for a prevailing Chapter 541 plaintiff;
  • Tex. Ins. Code § 542.060 for a qualifying prompt-payment claim; and
  • Tex. Bus. & Com. Code § 17.50(d) for a prevailing DTPA consumer.

For an action covered by Chapter 542A, calculate any award under § 542A.007. It limits fees by the judgment-to-presuit-demand ratio, bars them when that ratio is below 0.2, and can bar fees incurred after a timely defense pleading if the required amount was omitted from presuit notice. Do not present fees as automatic in a covered weather claim.

Fees incurred through date of this letter: $[________________________________]
Estimated fees through trial: $[________________________________]

G. Total Damages Summary

Component Amount
Policy Benefits Due $[________________________________]
§ 542.060 Penalty Interest (accrued) $[________________________________]
Consequential Damages $[________________________________]
Mental Anguish $[________________________________]
Subtotal Actual Damages $[________________________________]
Potential enhanced Chapter 541 damages (up to 3× actual damages if the trier of fact finds a knowing violation; discretionary) Up to $[________________________________]
Attorneys' Fees (through date of letter) $[________________________________]
TOTAL IF SUIT FILED AND WON Up to $[________________________________]

VII. SETTLEMENT DEMAND

A. Time-Limited Demand

We hereby demand that the Company pay the total sum of $[________________________________] by [__/__/____] at 5:00 p.m. Central Time.

This amount represents:

Component Amount
Policy Benefits Owed $[________________________________]
Accrued § 542.060 / § 542A Penalty Interest $[________________________________]
Consequential Damages $[________________________________]
Mental Anguish $[________________________________]
TOTAL SETTLEMENT DEMAND $[________________________________]

This demand is a compromise. Our client reserves the right to seek treble damages, punitive damages, and full attorneys' fees if the Company declines this offer and litigation proceeds.

B. Settlement Terms

In addition to the monetary payment:

☐ Full release of all claims by the Company against our client arising from this loss
☐ The Company shall correct / withdraw any adverse Comprehensive Loss Underwriting Exchange (CLUE) report entries attributable to disputed claims handling in this matter
☐ Confidentiality of settlement terms (if mutually agreed)
☐ [________________________________]

C. Stowers-Specific Terms (If Applicable)

This demand constitutes a valid Stowers demand under G.A. Stowers Furniture Co. v. Am. Indem. Co., 15 S.W.2d 544 (Tex. Comm. App. 1929):

  • Demand amount: $[________________________________] (within the policy limits of $[________________________________])
  • In exchange for: Full and unconditional release of [________________________________] (the insured)
  • Acceptance deadline: [__/__/____] (minimum 30 days from date of this letter)
  • Terms: Unambiguous — payment of $[________________________________] in exchange for a full release

If the Company unreasonably refuses a valid Stowers demand and an excess judgment is entered against the insured, the insured may assert a Stowers claim for the resulting liability, including the excess above policy limits. Our client may pursue that claim only if the insured has validly assigned it or a court order has transferred it, as documented in Section V.F. The damages sought in the underlying litigation total $[________________________________].


VIII. CHAPTER 542A PRE-SUIT NOTICE (IF APPLICABLE TO WEATHER CLAIM)

(Complete this section only if the claim arises from hail, wind, tornado, hurricane, lightning, wildfire, flood, earthquake, snowstorm, rainstorm, or other natural disaster under Tex. Ins. Code § 542A.001.)

Pursuant to Tex. Ins. Code § 542A.003, this letter also serves as the required 61-day pre-suit notice. The following information is provided:

Copy to claimant, if sent by an attorney or other representative: A copy of this notice was provided to [CLAIMANT NAME] by [DELIVERY METHOD] on [DATE].

1. Acts or Omissions Giving Rise to This Claim:
[________________________________]

2. Specific Amount Alleged to Be Owed:
$[________________________________] (itemized in Section VI above).

3. Attorneys' Fees as of Date of This Notice:
[____] hours × $[________________________________]/hour = $[________________________________] based on contemporaneous time records.

Inspection Right — § 542A.004: The Company may request an inspection within 30 days of this notice. Requests should be directed to [________________________________] at [________________________________].

Earliest date suit may be filed: [__/__/____] (61 days from the date of this letter).


IX. TIME-LIMITED DEMAND NOTICE AND CONSEQUENCES

THIS DEMAND EXPIRES AT 5:00 P.M. CENTRAL TIME ON [__/__/____].

This deadline is firm and is not subject to extension without our express written agreement.

If the Company Accepts This Demand:

The parties will execute a written settlement agreement and release, and payment will be made within [____] business days by [☐ wire transfer / ☐ cashier's check].

If the Company Fails to Accept This Demand:

  1. Suit may be filed after any applicable notice period in [________________________________] County District Court (or the appropriate U.S. District Court for the [________________________________] District of Texas), subject to statutory notice exceptions. A Chapter 541 damages action generally requires notice by the 61st day before suit under § 541.154; a DTPA damages action generally requires at least 60 days under Tex. Bus. & Com. Code § 17.505; and a covered Chapter 542A action requires notice by the 61st day before suit under § 542A.003. The suit may seek:

    • All policy benefits
    • interest at the applicable § 542.060 rate from the date payment was due
    • Treble damages under § 541.152(b) for knowing violations
    • Mental anguish and all consequential / independent-injury damages
    • Punitive / exemplary damages under Tex. Civ. Prac. & Rem. Code § 41.003
    • Reasonable and necessary attorneys' fees allowed under §§ 541.152 or 542.060, subject to § 542A.007 if this is a covered property claim
  2. Any Stowers claim for the insured's excess liability will be pursued only if our client holds a valid assignment or court-ordered transfer, as identified in Section V.F.

  3. Regulatory complaints will be filed with:

    • Texas Department of Insurance (TDI)
      Division of Consumer Protection
      1601 Congress Avenue, Austin, TX 78701
      P.O. Box 12030, Austin, TX 78711-2030
      Consumer Help Line: 1-800-252-3439
      Complaint instructions: https://www.tdi.texas.gov/consumer/get-help-with-an-insurance-complaint.html
  4. This demand will be withdrawn and our client will seek the full measure of all available damages without a settlement discount.


X. DOCUMENT PRESERVATION NOTICE

This letter constitutes formal legal notice to immediately suspend any document retention, destruction, or overwrite schedules and to preserve all documents and electronically stored information (ESI) relating to this claim and this policyholder, including:

☐ The complete claim file in all versions, including all notes, drafts, and revisions
☐ All internal communications, emails, text messages, instant messages (Teams, Slack, etc.), and voicemails regarding this claim or this insured
☐ All adjuster diaries, activity logs, and field notes (paper and electronic)
☐ All estimates, scope sheets, and Xactimate / Symbility files with version history
☐ All photographs, drone footage, and videos
☐ All expert reports, engineering reports, consultant evaluations, and cause-and-origin reports
☐ All communications with any vendor, independent adjuster, or third-party administrator
☐ Reserve documentation — all reserves set, changed, or approved with the complete authorization chain
☐ Claims handling guidelines, claim processing manuals, and playbooks applicable to this claim type
☐ Quality control, audit, and roundtable review records relating to this claim
☐ Training materials used to instruct adjusters handling this type of claim
☐ All reinsurance communications regarding this claim
☐ Any litigation hold notices already issued regarding this matter

Spoliation warning: Destruction, alteration, or loss of relevant material after a preservation duty arises may support a request for a proportionate procedural or evidentiary remedy. Texas does not recognize a separate first-party spoliation tort, and an instruction or terminating sanction is not automatic; it requires the findings and prejudice described in Brookshire Bros., Ltd. v. Aldridge, 438 S.W.3d 9, 20-27 (Tex. 2014).


XI. CONCLUSION

[________________________________] undertook a contractual obligation to our client — to investigate, fairly evaluate, and promptly pay a covered claim. The Company has failed on all three counts. The failure is not the product of a good-faith dispute over complex facts or law. It is the result of [________________________________] — conduct that Texas law recognizes as actionable bad faith and that Texas courts regularly sanction with substantial damages.

This demand represents our client's final opportunity to resolve this matter before full litigation. The evidence of coverage, causation, and the Company's misconduct is thoroughly documented and ready to present to a jury. The statutory penalties, treble damages, and attorneys' fees exposure the Company faces in litigation dwarfs the amount demanded here.

We strongly urge the Company to engage in good faith, consult with senior management and coverage counsel, and resolve this matter by the deadline stated above.

Please direct all communications to the undersigned.

Respectfully submitted,

[________________________________]
(Law Firm Name)

By: ___________________________________
[________________________________]
State Bar No. [________________________________]
[________________________________]
[________________________________], TX [________________________________]
Tel: [________________________________]
Fax: [________________________________]
Email: [________________________________]

Counsel for [________________________________]


ENCLOSURES:
☐ Policy declarations page and all endorsements
☐ Claim correspondence chronology (Exhibit A)
☐ All denial / inadequate-payment letters received from the Company
☐ Independent contractor / expert report — [________________________________], $[________________________________]
☐ Photographs and inspection documentation
☐ Medical records / bills (if bodily injury component)
☐ Lost income / business interruption documentation
☐ Attorneys' fees time records (Ch. 542A claims)
☐ [________________________________]

COPY TO:

  • [________________________________] (Client)
  • Texas Department of Insurance (via complaint filing) — www.tdi.texas.gov/consumer/complfrm.html

TEXAS BAD FAITH QUICK REFERENCE

Topic Texas Rule Citation
Common law bad faith standard Insurer knew or should have known the claim was reasonably clear; two-element test Universe Life Ins. v. Giles, 950 S.W.2d 48 (Tex. 1997)
Five Menchaca rules Governs which damages are recoverable (contract vs. extracontractual) USAA v. Menchaca, 545 S.W.3d 479 (Tex. 2018)
Unfair settlement practices Nine practices for insured/beneficiary claims; subsection (b) bars a third-party cause of action under subsection (a) Tex. Ins. Code § 541.060
Actual damages Proven actual damages from the Chapter 541 violation Tex. Ins. Code § 541.152(a)
Additional damages Up to 3× actual damages for a knowing violation Tex. Ins. Code § 541.152(b)
"Knowing" defined Actual awareness of falsity, deception, or unfairness Tex. Ins. Code § 541.002(1)
Chapter 541 / DTPA routes Ch. 541 can reach specified DTPA acts; DTPA can reach Ch. 541 violations for a qualifying consumer Tex. Ins. Code § 541.151; Tex. Bus. & Com. Code § 17.50(a)(4)
Prompt payment deadline — acknowledge 15 calendar days; eligible surplus lines: 30 business days Tex. Ins. Code § 542.055(a)
Prompt payment deadline — accept/deny 15 business days (up to 45 w/ written notice) Tex. Ins. Code § 542.056
Prompt payment deadline — pay 5 business days after notice or required claimant act; eligible surplus lines: 20 business days Tex. Ins. Code § 542.057
Catastrophe extension +15 days for a weather-related catastrophe or major natural disaster as defined by the commissioner Tex. Ins. Code § 542.059(b)
Penalty interest 18% annually under § 542.060(a), or the § 542.060(c) rate for covered Ch. 542A actions; reasonable and necessary attorneys' fees Tex. Ins. Code § 542.060
Weather/hailstorm pre-suit notice 61 days before filing suit; must state amount claimed and attorneys' fees Tex. Ins. Code § 542A.003
Stowers doctrine Insurer liable for excess judgment if it unreasonably refuses valid demand within limits G.A. Stowers Furniture Co. v. Am. Indem. Co., 15 S.W.2d 544 (Tex. 1929)
Stowers demand requirements Sum certain within limits; full release; unambiguous; reasonable time to respond Texas case law
Exemplary damages — standard Fraud, malice, or gross negligence — clear and convincing evidence Tex. Civ. Prac. & Rem. Code § 41.003
Exemplary damages — cap Greater of: 2× economic + non-economic up to $750K; or $200,000 Tex. Civ. Prac. & Rem. Code § 41.008
Attorneys' fees Available under the applicable claim; covered property actions face § 542A.007 limits and bars Tex. Ins. Code §§ 541.152, 542.060, 542A.007
TDI complaints 1601 Congress Ave., Austin, TX 78701; 1-800-252-3439 www.tdi.texas.gov

SOURCES AND REFERENCES

  • Texas Insurance Code Chapter 541 (Unfair Practices): https://statutes.capitol.texas.gov/GetStatute.aspx?Code=IN&Value=541
  • Texas Insurance Code § 541.060 — Unfair Settlement Practices: https://tcss.legis.texas.gov/resources/IN/htm/IN.541.htm#541.060
  • Texas Insurance Code Chapter 542 (Prompt Payment): https://statutes.capitol.texas.gov/Docs/IN/htm/IN.542.htm
  • Texas Insurance Code Chapter 542A (Weather Claims): https://www.hannaplaut.com/chapter-542a-and-the-importance-of-the-presuit-notice-letter/
  • USAA Tex. Lloyds Co. v. Menchaca, 545 S.W.3d 479 (Tex. 2018): https://www.mdjwlaw.com/experience/successes/usaa-texas-lloyds-company-v-menchaca-545-s-w-3d-479-tex-2018
  • Menchaca — Five Rules Analysis (Hallett & Perrin): https://www.hallettperrin.com/news-knowledge/detail/independent-injury-what-insurers-and-claimants-need-to-know-about-menchaca-
  • Universe Life Ins. Co. v. Giles, 950 S.W.2d 48 (Tex. 1997): https://caselaw.findlaw.com/court/tx-supreme-court/1215532.html
  • Stowers Doctrine Overview: https://pattersonpersonalinjury.com/personal-injury/texas-stowers-doctrine-stowers-demand/
  • Stowers Demand Requirements: https://shamiehlaw.com/faqs/what-is-stowers-demand-texas/
  • Texas DTPA, Tex. Bus. & Com. Code Ch. 17: https://statutes.capitol.texas.gov/SOTWDocs/BC/htm/BC.17.htm
  • DTPA and Insurance Tie-In Overview: https://freemanlaw.com/texas-deceptive-trade-practices-act-claims/
  • Treble Damages Under DTPA: https://www.graybecker.com/blog/treble-damages/
  • Tex. Civ. Prac. & Rem. Code § 41.003 (Exemplary Damages): https://statutes.capitol.texas.gov/Docs/CP/htm/CP.41.htm
  • Texas Prompt Payment — 18% Interest Analysis: https://247restorationspecialists.com/texas-insurance-code-%C2%A7542-060-the-math-behind-the-18-interest-penalty/
  • Texas Prompt Payment — Courts Gutting the Statute: https://www.pennebakerlaw.com/conservative-texas-courts-have-gutted-the-texas-prompt-payment-statute/
  • Texas Dept. of Insurance (TDI): https://www.tdi.texas.gov
  • TDI Consumer Complaint Portal: https://www.tdi.texas.gov/consumer/complfrm.html

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About this template

Last updated
November 5, 2026
Jurisdiction
Texas
Category
Demand Letters

Legal authority

  • Tex. Ins. Code Ch. 541 (Unfair Methods of Competition and Unfair or Deceptive Acts or Practices)
  • Tex. Ins. Code § 541.060 (nine unfair settlement practices for insured/beneficiary claims; third-party cause-of-action bar)
  • Tex. Ins. Code § 541.151 (Chapter 541 action for specified DTPA acts with detrimental reliance)
  • Tex. Ins. Code § 541.152 (actual damages; treble damages for knowing violations; attorneys' fees)
  • Tex. Ins. Code Ch. 542 (Prompt Payment of Claims Act)
  • Tex. Ins. Code § 542.055(a) (15-day acknowledgment; 30 business days for eligible surplus lines insurers)
  • Tex. Ins. Code § 542.056 (15-business-day accept/deny)
  • Tex. Ins. Code § 542.057 (5-business-day payment; 20 business days for eligible surplus lines insurers)
  • Tex. Ins. Code § 542.060 (18% annual interest generally; § 542.060(c) special rate for covered Ch. 542A actions)
  • Tex. Ins. Code § 542.059(b) (catastrophe deadline extension); Ch. 542A (covered property-claim pre-suit notice)
  • Tex. Ins. Code § 541.154 (Chapter 541 pre-suit notice)
  • Tex. Bus. & Com. Code § 17.50 (DTPA — conditional consumer action and remedies)
  • USAA Tex. Lloyds Co. v. Menchaca, 545 S.W.3d 479 (Tex. 2018) (five rules)
  • Universe Life Ins. Co. v. Giles, 950 S.W.2d 48 (Tex. 1997) (common law bad faith standard)
  • G.A. Stowers Furniture Co. v. Am. Indem. Co., 15 S.W.2d 544 (Tex. Comm. App. 1929) (Stowers doctrine)
  • Tex. Civ. Prac. & Rem. Code § 41.003 (exemplary damages — fraud, malice, or gross negligence)
  • Tex. Civ. Prac. & Rem. Code § 41.008 (exemplary damages cap)

A demand letter is a formal written request to fix a problem or pay what is owed, sent before anyone files a lawsuit. It gives the other side a real chance to settle, creates a record of your attempt to resolve things, and in many cases (unpaid debts, insurance claims, broken contracts) starts a legally required response window. A well-written demand letter lays out what happened, what you want, and a deadline to act, which is often enough to get results without ever going to court.

Not legal advice

This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Checked against the law it cites

The statutes this template relies on are listed under Legal authority.

Tex. Ins. Code § 541.060(a)(4) (checked November 4, 2026): "failing within a reasonable time to: (A) affirm or deny coverage of a claim to a policyholder; or (B) submit a reservation of rights to a policyholder"

Tex. Ins. Code § 541.152(a)(1) (checked November 4, 2026): "the amount of actual damages, plus court costs and reasonable and necessary attorney's fees"

Tex. Ins. Code § 542A.003(c) (checked October 27, 2026): "(c) If an attorney or other representative gives the notice required under this section on behalf of a claimant, the attorney or representative shall: (1) provide a copy of the notice to the claimant; and (2) include in the notice a statement that a copy of the notice was provided to the claimant."

Ortiz v. State Farm Lloyds, 589 S.W.3d 127 (Tex. 2019) (applying Menchaca) (checked October 27, 2026): "an insured cannot recover policy benefits as actual damages for an insurer’s statutory violation if the insured has no right to those benefits under the policy."

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