INSURANCE BAD FAITH DEMAND LETTER

State of West Virginia

[LAW FIRM LETTERHEAD]

PRIVILEGED AND CONFIDENTIAL
SETTLEMENT COMMUNICATION - FOR RESOLUTION PURPOSES ONLY
PROTECTED UNDER WV 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 - WEST VIRGINIA 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 West Virginia. 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 West Virginia law.

As a seasoned insurance litigator with decades of experience representing policyholders against major carriers in West Virginia, I am well aware of the Company's obligations under W. Va. Code Chapter 33 and West Virginia common law. The Company's conduct in this matter constitutes a textbook example of bad faith claims practices that West Virginia 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 West Virginia law.

II. WEST VIRGINIA BAD FAITH LAW

A. Legal Standard

West Virginia provides statutory remedy under W. Va. Code 33-11-4 (UTPA) with private right of action. Also recognizes common law bad faith with strong policyholder protections. Hayseeds, Inc. v. State Farm Fire & Cas., 352 S.E.2d 73 (W. Va. 1986). Insurer must deal fairly and honestly.

B. Available Damages Under West Virginia Law

Under West Virginia law, our client is entitled to recover:

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

C. Punitive Damages Standard

Actual malice (knowledge of wrongful act or wanton and willful disregard)

D. Attorney's Fees

Recoverable under W. Va. Code 33-11-4a

III. POLICY INFORMATION AND COVERAGE

A. Policy Details

B. Coverage Analysis

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

[CARRIER_SHORT_NAME] has acknowledged coverage by [DESCRIBE_COVERAGE_ACKNOWLEDGMENT]. Having accepted coverage, the Company is obligated under West Virginia 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

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 West Virginia law:

A. Unreasonable Delay

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

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

C. Unreasonable Settlement Offers

The Company's settlement offers have been grossly inadequate:

D. Misrepresentation of Policy Provisions

[DESCRIBE_MISREPRESENTATIONS]

E. Failure to Communicate

[DESCRIBE_COMMUNICATION_FAILURES]

VI. STATUTORY VIOLATIONS

A. West Virginia Unfair Claims Settlement Practices Act

[CARRIER_SHORT_NAME]'s conduct violates W. Va. Code 33-11-4, 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. West Virginia Prompt Payment Requirements

[CARRIER_SHORT_NAME] has violated W. Va. Code 33-11-4 - 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

B. Consequential Damages

C. Emotional Distress Damages

[DESCRIBE_EMOTIONAL_DISTRESS_IF_RECOVERABLE_UNDER_WV_LAW]

D. Punitive/Exemplary Damages

Under West Virginia law, punitive damages require: Actual malice (knowledge of wrongful act or wanton and willful disregard)

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

E. Statutory Penalties

Under West Virginia 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:

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 West Virginia 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 West Virginia law

3. Regulatory complaints will be filed with:
   - West Virginia Offices of the Insurance Commissioner, P.O. Box 50540, Charleston, WV 25305
   - 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 West Virginia bad faith laws were enacted to prevent and punish. We strongly encourage the Company to use this opportunity to resolve this matter fairly under West Virginia law.

Please direct all communications regarding this matter to the undersigned.

Respectfully submitted,

[LAW_FIRM_NAME]

By: _______________________________
[ATTORNEY_NAME]
[BAR_NUMBER]
[ADDRESS]
[CITY], WV [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]
- West Virginia Offices of the Insurance Commissioner, P.O. Box 50540, Charleston, WV 25305 (via complaint filing)

WEST VIRGINIA LAW QUICK REFERENCE