Time-Limited Demand and Bad Faith Toolkit - California
TIME-LIMITED DEMAND AND BAD FAITH TOOLKIT - CALIFORNIA
JURISDICTION NOTE: California has the most developed and extensive body of insurance bad faith law in the United States. The California Supreme Court established the third-party duty to settle in Comunale v. Traders & General Ins. Co., 50 Cal.2d 654 (1958), and first-party bad faith in Gruenberg v. Aetna Ins. Co., 9 Cal.3d 566 (1973). California recognizes both first-party and third-party bad faith as torts. Unique California features include: Brandt fees (attorney fees incurred to recover policy benefits are recoverable as contract damages); the genuine dispute doctrine (a defense to bad faith when the insurer's position was based on a genuine dispute); and the availability of emotional distress damages even in first-party cases under Crisci. The standard for proving bad faith requires more than negligence but does not require intentional misconduct.
TABLE OF CONTENTS
- Third-Party Time-Limited Settlement Demand Letter
- First-Party Bad Faith Demand Letter
- California Bad Faith Elements Checklist
- Damages Calculation Framework
- Bad Faith Conduct Documentation Checklist
- Pre-Suit Requirements
- California-Specific Practice Notes
- Sample Time-Limited Demand Conditions
- Sources and References
1. THIRD-PARTY TIME-LIMITED SETTLEMENT DEMAND LETTER
VIA CERTIFIED MAIL, RETURN RECEIPT REQUESTED
AND VIA EMAIL TO: [____________________________________]
Date: [__/__/____]
To:
[________________________________] (Claims Adjuster)
[________________________________] (Insurance Company)
[________________________________] (Address)
[________________________________] (City, State, ZIP)
Re: Time-Limited Settlement Demand (Policy Limits)
Claimant: [________________________________]
Insured/Tortfeasor: [________________________________]
Claim Number: [________________________________]
Policy Number: [________________________________]
Date of Loss: [__/__/____]
Policy Limits: $[________________________________] per occurrence / $[________________________________] aggregate
Dear Claims Professional:
This firm represents [________________________________] ("Claimant") for injuries and damages arising from [________________________________] [describe incident] that occurred on [__/__/____] in [________________________________] County, California, involving your insured, [________________________________] ("Insured").
A. LIABILITY SUMMARY
Liability against your Insured is clear and virtually indisputable:
[________________________________]
[________________________________]
[________________________________]
[Insert specific facts. California applies pure comparative fault (Li v. Yellow Cab Co., 13 Cal.3d 804 (1975)). State the insured's fault percentage and facts supporting it. Address any potential liability defenses.]
Supporting documentation is attached as Exhibit A.
B. DAMAGES SUMMARY
| Category | Amount |
|---|---|
| Past Medical Expenses (specials) | $[________________] |
| Future Medical Expenses (life care plan) | $[________________] |
| Past Lost Wages/Income | $[________________] |
| Future Lost Earning Capacity | $[________________] |
| Property Damage | $[________________] |
| Past Pain and Suffering | $[________________] |
| Future Pain and Suffering | $[________________] |
| Emotional Distress | $[________________] |
| Loss of Consortium (if applicable) | $[________________] |
| Other: [________________] | $[________________] |
| TOTAL DAMAGES | $[________________] |
Supporting documentation is attached as Exhibit B.
Note: California does not cap noneconomic damages in general personal injury cases (but does in medical malpractice under MICRA).
C. COVERAGE
The applicable policy provides bodily injury liability coverage with limits of $[________________] per occurrence. No known exclusions or coverage defenses apply.
Duty to Settle Under California Law: Under Comunale v. Traders & General Ins. Co., 50 Cal.2d 654 (1958), and its progeny, a liability insurer has an implied obligation to accept a reasonable settlement within policy limits when the insured faces a substantial likelihood of an excess judgment. "The insurer, in deciding whether a claim should be compromised, must take into account the interest of the insured and give it at least as much weight as it does to its own interest." Crisci v. Security Ins. Co., 66 Cal.2d 425, 429 (1967).
D. DEMAND
Claimant demands payment of $[________________] (the full per-occurrence bodily injury policy limits) to settle all claims against the Insured.
This demand is made to trigger the insurer's duty to accept a reasonable settlement demand within policy limits. See Comunale v. Traders & General Ins. Co., 50 Cal.2d 654 (1958).
E. TIME LIMIT
This demand expires at 5:00 p.m. Pacific Time on [__/__/____], which is [____] days from the date of this letter. Time is of the essence.
After expiration, this demand is withdrawn and cannot be accepted without Claimant's express written consent.
Note: California courts have held that a reasonable time for response is required. While the time limit should be reasonable (typically 30 days or more), an unreasonably short deadline may undermine the enforceability of the demand.
F. CONDITIONS FOR ACCEPTANCE
- Written acceptance delivered to the undersigned by the deadline.
- Payment of the full demanded amount within [____] business days of acceptance, by check payable to "[________________________________] and [________________________________], Attorneys at Law, as Trustees."
- Release -- Claimant will provide a standard release of the Insured only, which shall:
- Release only the named Insured from claims arising from this incident
- Not contain confidentiality provisions
- Not contain indemnification or hold-harmless provisions
- Not contain any release of the insurer from independent claims by the Insured
- Not require any admission or denial of fault - No additional conditions. Any modification constitutes a counteroffer and rejection.
Important -- Reasonable Conditions: Consistent with California law, these conditions are clear, achievable, and do not impose unreasonable requirements. See Graciano v. Mercury General Corp., 231 Cal.App.4th 414 (2014) (discussing requirements for a valid time-limited demand).
G. NOTICE OF EXCESS LIABILITY EXPOSURE UNDER CALIFORNIA LAW
Under California law, the insurer's duty to settle is well-established:
-
Comunale v. Traders & General Ins. Co., 50 Cal.2d 654 (1958): An insurer that unreasonably refuses to settle within policy limits is liable for the entire judgment, even if it exceeds the policy limits.
-
Crisci v. Security Insurance Co., 66 Cal.2d 425 (1967): The insurer must give at least equal consideration to the insured's interests. Where there is a "great risk of a recovery beyond the policy limits," the most reasonable course is to settle within the limits. The insurer is liable for emotional distress caused to the insured by a failure to settle.
-
Johansen v. California State Auto. Assn., 15 Cal.3d 9 (1975): The proper test for bad faith failure to settle is whether a prudent insurer, without policy limits, would have accepted the settlement offer.
Failure to accept this reasonable demand may subject the insurer to:
- Full liability for any excess judgment (Comunale)
- Emotional distress damages to the insured (Crisci)
- Punitive damages for egregious conduct (Egan v. Mutual of Omaha, 24 Cal.3d 809 (1979))
- Attorney fees as Brandt fees or as damages
- All consequential damages
We demand that you immediately notify the Insured of this demand, the potential excess exposure, and the Insured's right to retain personal counsel at the insurer's expense under Cumis/San Diego Navy Federal Credit Union v. Cumis Ins. Society, Inc., 162 Cal.App.3d 358 (1984), if a conflict of interest exists.
H. DOCUMENTATION ENCLOSED
☐ Exhibit A: Liability Evidence Package
☐ Exhibit B: Damages Package (medical records, bills, wage verification, etc.)
☐ Exhibit C: Photographs / Video Evidence
☐ Exhibit D: Expert Reports (if applicable)
☐ Exhibit E: Life Care Plan (if applicable)
Respectfully submitted,
________________________________________
[________________________________] (Attorney Name)
[________________________________] (Firm Name)
[________________________________] (Address)
[________________________________] (City, State, ZIP)
[________________________________] (Phone / Email / State Bar No.)
Counsel for [________________________________], Claimant
2. FIRST-PARTY BAD FAITH DEMAND LETTER
VIA CERTIFIED MAIL, RETURN RECEIPT REQUESTED
AND VIA EMAIL TO: [____________________________________]
Date: [__/__/____]
To:
[________________________________] (Claims Manager / General Counsel)
[________________________________] (Insurance Company)
[________________________________] (Address)
[________________________________] (City, State, ZIP)
Re: Demand for Payment -- Notice of Bad Faith and Unfair Claims Practices
Insured/Policyholder: [________________________________]
Policy Number: [________________________________]
Claim Number: [________________________________]
Date of Loss: [__/__/____]
Dear [________________________________]:
This firm represents [________________________________] ("Insured") regarding the above-referenced claim under [________________________________] Policy No. [________________________________].
A. CLAIM HISTORY
On [__/__/____], the Insured suffered a covered loss consisting of [________________________________]. The claim was timely reported on [__/__/____]. The Insured has complied with all policy conditions.
The policy provides coverage under [________________________________] with limits of $[________________________________].
B. COMPANY'S IMPROPER CLAIMS HANDLING
☐ Denied the claim without reasonable basis on [__/__/____]
☐ Unreasonably delayed investigation or payment for [____] days
☐ Underpaid: offered $[________________] when the covered loss is $[________________]
☐ Failed to conduct a thorough and fair investigation
☐ Used biased or outcome-oriented experts
☐ Failed to provide a written explanation for the denial within the time required by the Fair Claims Settlement Practices Regulations
☐ Misrepresented policy provisions to justify the denial
☐ Failed to acknowledge the claim within 15 days (Cal. Code Regs., tit. 10, section 2695.5(e))
☐ Failed to accept or deny the claim within 40 days of receipt of proof of claim (Cal. Code Regs., tit. 10, section 2695.7(b))
☐ Forced the Insured to litigate to recover clearly owed benefits
☐ Other: [________________________________]
[Detailed factual narrative:]
[________________________________]
[________________________________]
C. VIOLATIONS OF CALIFORNIA FAIR CLAIMS SETTLEMENT PRACTICES
The Company's conduct violates California Insurance Code section 790.03(h), which prohibits:
- (h)(1) Misrepresenting pertinent facts or policy provisions relating to coverage
- (h)(2) Failing to acknowledge and act reasonably promptly upon communications regarding claims
- (h)(3) Failing to adopt and implement reasonable standards for prompt investigation and processing of claims
- (h)(4) Failing to affirm or deny coverage within a reasonable time after proof of claim is complete
- (h)(5) Not attempting in good faith to effectuate prompt, fair, and equitable settlements where liability is reasonably clear
- (h)(6) Compelling the insured to litigate by offering substantially less than amounts ultimately recovered in suits brought by such insureds
- (h)(7) Attempting to settle a claim for less than the amount to which a reasonable person would believe the insured was entitled
- (h)(13) Failing to provide promptly a reasonable explanation of the basis for the denial
Additionally, the Company's conduct violates the California Fair Claims Settlement Practices Regulations (Cal. Code Regs., tit. 10, section 2695.1 et seq.), including:
☐ Section 2695.5(e): Failure to acknowledge every claim within 15 calendar days
☐ Section 2695.7(b): Failure to accept or deny within 40 days of receipt of proof of claim
☐ Section 2695.7(d): Failure to provide a written explanation for denial
D. APPLICATION OF THE BAD FAITH STANDARD
Under California law, the implied covenant of good faith and fair dealing requires the insurer to refrain from doing anything to injure the right of the insured to receive the benefits of the contract. Gruenberg v. Aetna Ins. Co., 9 Cal.3d 566 (1973).
To establish bad faith, the insured must show that the insurer unreasonably withheld policy benefits. The test is whether the insurer's conduct was unreasonable -- more than mere negligence but less than intentional misconduct. Egan v. Mutual of Omaha Ins. Co., 24 Cal.3d 809 (1979).
Genuine Dispute Doctrine: The Company cannot rely on the genuine dispute doctrine (Chateau Chamberay Homeowners Ass'n v. Associated Int'l Ins. Co., 90 Cal.App.4th 335 (2001)) because [choose and complete]:
☐ There is no genuine dispute -- the claim is clearly covered and the Company's denial lacks any reasonable basis
☐ The Company did not conduct a reasonable investigation before denying, so it cannot claim a genuine dispute
☐ The Company's reliance on biased or unreliable expert opinions does not create a genuine dispute
☐ The Company manufactured the dispute through misapplication of policy language
E. DEMAND
- Immediate payment of covered benefits: $[________________]
- Brandt fees -- attorney fees incurred to recover policy benefits: $[________________]
- Consequential damages from unreasonable delay/denial: $[________________]
- Written explanation within [____] days of any continued denial
- Preservation of the complete claim file
F. NOTICE OF BAD FAITH CLAIM
If the Company fails to resolve this claim within [____] days, the Insured will pursue all California remedies:
- Breach of contract
- Breach of the implied covenant of good faith and fair dealing (tort)
- Brandt fees -- attorney fees incurred to recover policy benefits (Brandt v. Superior Court, 37 Cal.3d 813 (1985))
- Compensatory damages including emotional distress (Crisci v. Security Ins. Co., 66 Cal.2d 425 (1967))
- Punitive damages under Cal. Civ. Code section 3294 (oppression, fraud, or malice)
- Violation of Cal. Ins. Code section 790.03(h) (as evidence of bad faith)
- All other available relief
Respectfully submitted,
________________________________________
[________________________________] (Attorney Name, Firm, Address, Phone, Email, State Bar No.)
Counsel for [________________________________], Insured
3. CALIFORNIA BAD FAITH ELEMENTS CHECKLIST
A. First-Party Bad Faith (Breach of Implied Covenant)
Under Gruenberg v. Aetna Ins. Co., 9 Cal.3d 566 (1973), and Egan v. Mutual of Omaha, 24 Cal.3d 809 (1979):
☐ A valid insurance contract existed
☐ Benefits were due under the policy (the insured's claim was covered)
☐ The insurer withheld benefits (denied, delayed, or underpaid)
☐ The insurer's withholding was unreasonable -- the insurer had no proper cause for its conduct
☐ The insured suffered damages as a proximate result
Standard: "An insurer may breach the covenant of good faith and fair dealing when it unreasonably refuses to pay policy benefits." The test requires more than mere negligence but less than intentional misconduct. Egan, 24 Cal.3d at 819.
B. Genuine Dispute Doctrine (Defense)
Under Chateau Chamberay, 90 Cal.App.4th 335 (2001):
☐ Was there a genuine dispute as to the insurer's liability to pay the claim?
☐ Did the insurer conduct a thorough and fair investigation before concluding there was a genuine dispute?
☐ Was the insurer's position objectively reasonable?
☐ Did the insurer rely on the results of a competent, unbiased investigation?
Important Limitations on the Genuine Dispute Defense:
- The insurer must actually investigate before it can claim a genuine dispute
- Reliance on biased or outcome-oriented experts does not create a genuine dispute
- Manufacturing a dispute through selective investigation defeats the defense
- The mere existence of conflicting evidence does not automatically trigger the defense -- the insurer must also handle the claim fairly
C. Third-Party Bad Faith (Failure to Settle)
Under Comunale v. Traders & General Ins. Co., 50 Cal.2d 654 (1958):
☐ A valid liability policy existed
☐ A third-party settlement demand was made within policy limits
☐ The demand was reasonable given the liability exposure and damages
☐ There was a substantial likelihood of an excess judgment
☐ The insurer failed to accept the demand
☐ A prudent insurer without policy limits would have accepted the demand (Johansen test)
☐ An excess judgment was entered against the insured
☐ The insured suffered damages
Johansen Test: "The test for determining whether an insurer has given consideration to the interest of the insured is whether a prudent insurer without policy limits would have accepted the settlement offer." Johansen v. California State Auto. Assn., 15 Cal.3d 9, 16 (1975).
D. Cal. Ins. Code Section 790.03(h) -- Unfair Practices as Evidence
No Private Right of Action: Under Moradi-Shalal v. Fireman's Fund Ins. Cos., 46 Cal.3d 287 (1988), section 790.03 does NOT create a private cause of action. However, violations of its standards are admissible as evidence of bad faith in the common law tort action. See CACI 2337.
4. DAMAGES CALCULATION FRAMEWORK
A. Contract Damages
| Item | Amount |
|---|---|
| Policy benefits wrongfully denied or underpaid | $[________________] |
| Prejudgment interest (Cal. Civ. Code section 3287 -- 10% per annum on liquidated claims; 7% on unliquidated) | $[________________] |
| Subtotal | $[________________] |
B. Brandt Fees
| Item | Amount |
|---|---|
| Attorney fees incurred to recover policy benefits (Brandt v. Superior Court, 37 Cal.3d 813 (1985)) | $[________________] |
| Subtotal | $[________________] |
Brandt Fees Explained: Under Brandt, when the insured prevails on a bad faith claim, the attorney fees incurred to recover the policy benefits owed are recoverable as an element of contract damages. These are limited to fees attributable to obtaining the policy benefits (not fees for the bad faith tort claim itself). Brandt fees are determined by the court, not the jury. See Cassim v. Allstate Ins. Co., 33 Cal.4th 780 (2004).
C. Tort Damages (Bad Faith)
| Item | Amount |
|---|---|
| Emotional distress / mental anguish | $[________________] |
| Physical manifestation of distress | $[________________] |
| Economic consequential losses | $[________________] |
| Loss of property / foreclosure from unpaid claims | $[________________] |
| Medical/psychological treatment costs | $[________________] |
| Other consequential damages | $[________________] |
| Subtotal | $[________________] |
Emotional Distress in California: California broadly allows emotional distress damages in insurance bad faith cases. Under Crisci v. Security Ins. Co., 66 Cal.2d 425 (1967), the insured may recover for mental suffering caused by the insurer's bad faith, including in first-party cases. Physical manifestation is not required.
D. Punitive Damages
| Item | Amount |
|---|---|
| Punitive damages (Cal. Civ. Code section 3294) | $[________________] |
California Punitive Damages Standards:
- Burden of Proof: Clear and convincing evidence (Cal. Civ. Code section 3294(a))
- Standard: The insurer acted with "oppression, fraud, or malice"
- Oppression: Despicable conduct subjecting the insured to cruel and unjust hardship in conscious disregard of rights
- Fraud: Intentional misrepresentation, deceit, or concealment
- Malice: Conduct intended to cause injury or despicable conduct with a willful and conscious disregard of the rights or safety of others
- Corporate Liability: For a corporate insurer, punitive damages require that an officer, director, or managing agent authorized or ratified the wrongful conduct, or was personally guilty of oppression, fraud, or malice (Cal. Civ. Code section 3294(b))
- No Statutory Cap: California does not impose a statutory cap, but constitutional limits apply per State Farm Mut. Auto. Ins. Co. v. Campbell, 538 U.S. 408 (2003)
- Financial Condition: The insurer's financial condition is admissible and relevant to the amount of punitive damages
E. Total Damages Summary
| Category | Amount |
|---|---|
| Contract Damages (Policy Benefits) | $[________________] |
| Brandt Fees | $[________________] |
| Tort Damages (Emotional Distress, Consequential) | $[________________] |
| Punitive Damages | $[________________] |
| TOTAL | $[________________] |
5. BAD FAITH CONDUCT DOCUMENTATION CHECKLIST
A. Fair Claims Settlement Practices Regulations Compliance
☐ Was the claim acknowledged within 15 calendar days? (section 2695.5(e))
☐ Was the claim accepted or denied within 40 calendar days of receipt of proof of claim? (section 2695.7(b))
☐ Was a written explanation of the denial provided? (section 2695.7(d))
☐ Were all policy forms and claim forms provided upon request? (section 2695.5(c))
☐ Was the claim file documented with all relevant information? (section 2695.3)
☐ Was the claimant kept informed of the status of the claim? (section 2695.5(e))
☐ Were reserves set based on a good faith assessment of the claim?
B. Investigation Quality
☐ Was the investigation prompt, thorough, and unbiased?
☐ Were all relevant evidence and documentation reviewed?
☐ Did the insurer consider evidence supporting the claim, or only evidence against it?
☐ Were independent experts truly independent and unbiased?
☐ Did the insurer's adjuster recommend payment or higher payment than what was offered?
☐ Was the adjuster's recommendation overridden by supervisors?
☐ Did the insurer give the insured's evidence fair consideration?
C. Genuine Dispute Doctrine Rebuttal
☐ Did the insurer actually investigate before claiming a dispute exists?
☐ Was the investigation fair and objective, or outcome-oriented?
☐ Is the insurer relying on biased experts to create a "dispute"?
☐ Did the insurer selectively investigate to support its denial?
☐ Is the dispute genuine, or was it manufactured after the fact?
D. Punitive Damages Evidence (Oppression, Fraud, or Malice)
☐ Did a managing agent, officer, or director authorize or ratify the bad faith conduct?
☐ Is there a pattern of similar conduct against other policyholders?
☐ Did the insurer deliberately ignore its own claims handling guidelines?
☐ Was the insurer's conduct despicable (beyond mere negligence or poor judgment)?
☐ Did the insurer have a financial motive for the denial/delay?
☐ Did the insurer destroy or conceal evidence?
E. Documents to Preserve and Obtain
☐ Complete claim file (electronic and paper)
☐ All internal communications, notes, and activity logs
☐ Reserve history and reserve-setting rationale
☐ All expert reports, estimates, and vendor communications
☐ Claims handling guidelines and manuals
☐ Training materials
☐ Audit and quality review records
☐ Organizational chart and identification of managing agents
☐ Financial statements (for punitive damages phase)
☐ Prior DOI complaints and market conduct exam results
6. PRE-SUIT REQUIREMENTS
California Pre-Suit Requirements
California does not have a mandatory pre-suit notice or administrative filing requirement for bad faith claims. There is no equivalent of Florida's Civil Remedy Notice.
Pre-Suit Checklist:
☐ Confirm the statute of limitations:
- Bad faith tort (breach of implied covenant): 2 years (Cal. Code Civ. Proc. section 339)
- Breach of written insurance contract: 4 years (Cal. Code Civ. Proc. section 337)
- Accrual: Generally when the insured knew or should have known of the bad faith conduct
☐ Send a pre-suit demand letter (recommended) establishing notice
☐ File a complaint with the California Department of Insurance (optional): 300 Capitol Mall, Suite 1700, Sacramento, CA 95814
☐ Confirm venue: Superior Court in the county where the insured resides or where the loss occurred
☐ Consider strategic issues:
- Whether to plead breach of contract separately from bad faith tort
- Whether to seek punitive damages (requires identifying managing agent conduct)
- Whether the genuine dispute doctrine poses a risk
☐ Preserve evidence -- send a litigation hold letter
7. CALIFORNIA-SPECIFIC PRACTICE NOTES
A. Key California Bad Faith Cases
-
Comunale v. Traders & General Ins. Co., 50 Cal.2d 654 (1958)
- Established the duty to settle within policy limits in third-party cases
- Insurer liable for full excess judgment when it unreasonably refuses to settle -
Crisci v. Security Insurance Co., 66 Cal.2d 425 (1967)
- Expanded third-party bad faith damages to include emotional distress
- Established the "equal consideration" standard
- Where risk of excess judgment is great, most reasonable course is to settle within limits -
Gruenberg v. Aetna Ins. Co., 9 Cal.3d 566 (1973)
- Recognized first-party bad faith as a tort (breach of implied covenant)
- Insurance contracts carry a special relationship giving rise to tort duties -
Egan v. Mutual of Omaha Ins. Co., 24 Cal.3d 809 (1979)
- Affirmed punitive damages in bad faith cases
- Standard: more than negligence, less than intentional misconduct
- Section 790.03(h) standards are relevant to evaluating insurer conduct -
Brandt v. Superior Court, 37 Cal.3d 813 (1985)
- Attorney fees incurred to recover policy benefits (Brandt fees) are recoverable as contract damages in bad faith actions
- Brandt fees are determined by the court, not the jury -
Johansen v. California State Auto. Assn., 15 Cal.3d 9 (1975)
- Test for failure to settle: would a prudent insurer without policy limits have accepted the demand? -
Moradi-Shalal v. Fireman's Fund, 46 Cal.3d 287 (1988)
- No private right of action under section 790.03
- But its standards are admissible as evidence of bad faith -
Chateau Chamberay Homeowners Ass'n v. Associated Int'l Ins., 90 Cal.App.4th 335 (2001)
- Established the genuine dispute doctrine
- No bad faith where the insurer's position rests on a genuine dispute, following a reasonable investigation
B. The Genuine Dispute Doctrine -- Practice Tips
The genuine dispute doctrine is the insurer's strongest defense in California. To defeat it:
-
Attack the investigation. If the insurer did not conduct a thorough, fair investigation before denying, the doctrine does not apply.
-
Challenge expert opinions. If the insurer relied on a biased "hired gun" expert, the dispute is not genuine. See Chateau Chamberay, 90 Cal.App.4th at 347.
-
Show selective investigation. If the insurer only considered evidence supporting denial and ignored evidence supporting coverage, the doctrine fails.
-
Demonstrate post-hoc rationalization. If the insurer articulated the "genuine dispute" only after litigation commenced, it is suspect.
-
Note that the doctrine is a defense, not an absolute bar. Even when a dispute exists, the insurer must handle the claim fairly.
C. Brandt Fees -- Practice Tips
Brandt v. Superior Court fees are a unique California remedy:
- Only attorney fees incurred to recover policy benefits are recoverable -- not fees for the bad faith tort claim itself
- The court (not the jury) determines the amount of Brandt fees
- Bifurcation of Brandt fees from the jury trial may be required
- Brandt fees are recoverable even without punitive damages
- Document time carefully to segregate Brandt-eligible fees from bad faith tort fees
D. First-Party vs. Third-Party Bad Faith -- California Distinctions
| Feature | First-Party | Third-Party |
|---|---|---|
| Nature of claim | Insured vs. own insurer (denial/delay) | Insured/claimant vs. insurer (failure to settle) |
| Duty | Good faith claims handling | Duty to settle within limits |
| Key test | Unreasonable withholding of benefits | Prudent insurer without limits test (Johansen) |
| Excess judgment required? | No | Usually yes (judgment must exceed limits) |
| Brandt fees | Yes | Not typically (no policy benefits owed to claimant) |
| Emotional distress | Yes (Crisci/Gruenberg) | Yes (Crisci) |
| Punitive damages | Yes (section 3294) | Yes (section 3294) |
| Genuine dispute defense | Yes | Less common |
E. Statute of Limitations
| Claim Type | Period | Citation |
|---|---|---|
| Bad faith tort | 2 years | Cal. Code Civ. Proc. section 339 |
| Breach of written insurance contract | 4 years | Cal. Code Civ. Proc. section 337 |
| Unfair business practices (UCL section 17200) | 4 years | Cal. Bus. & Prof. Code section 17208 |
8. SAMPLE TIME-LIMITED DEMAND CONDITIONS
A. Payment and Release
☐ Full payment within [____] business days of written acceptance
☐ Check payable to "[________________________________] and [________________________________], as Trustees"
☐ Standard release of the named insured only
☐ No confidentiality, indemnification, or hold-harmless provisions
☐ No release of the insurer from independent claims (including Insured's bad faith claims)
☐ No structured settlement unless separately negotiated
☐ Medicare/Medi-Cal compliance addressed by Claimant
B. California-Specific Conditions
☐ The conditions of this demand are clear, achievable, and reasonable per Graciano v. Mercury General, 231 Cal.App.4th 414 (2014)
☐ The insurer must disclose all available policy limits (including umbrella/excess)
☐ The insurer must immediately notify the Insured of this demand (Crisci obligation)
☐ The insurer must advise the Insured of the right to retain Cumis counsel if a conflict exists
☐ The insurer must advise the Insured of the potential excess exposure
☐ Failure to forward this demand to the Insured is independent bad faith
C. Communication Requirements
☐ Written acceptance received at counsel's office by the deadline
☐ Any modification constitutes a counteroffer and rejection
☐ Insurer must confirm acceptance is binding on behalf of the insured
9. SOURCES AND REFERENCES
California Statutes and Regulations
- Cal. Ins. Code section 790.03(h): https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=INS§ionNum=790.03.
- Cal. Civ. Code section 3294 (Punitive Damages)
- Cal. Code of Regulations, tit. 10, sections 2695.1-2695.14 (Fair Claims Settlement Practices Regulations)
- Cal. Code Civ. Proc. sections 335-339 (Statutes of Limitation)
Key Cases
- Comunale v. Traders & General Ins. Co., 50 Cal.2d 654 (1958): https://law.justia.com/cases/california/supreme-court/2d/50/654.html
- Crisci v. Security Ins. Co., 66 Cal.2d 425 (1967)
- Gruenberg v. Aetna Ins. Co., 9 Cal.3d 566 (1973)
- Johansen v. California State Auto. Assn., 15 Cal.3d 9 (1975)
- Egan v. Mutual of Omaha Ins. Co., 24 Cal.3d 809 (1979): https://law.justia.com/cases/california/supreme-court/3d/24/809.html
- Brandt v. Superior Court, 37 Cal.3d 813 (1985)
- Moradi-Shalal v. Fireman's Fund Ins. Cos., 46 Cal.3d 287 (1988)
- Chateau Chamberay Homeowners Ass'n v. Associated Int'l Ins. Co., 90 Cal.App.4th 335 (2001)
- Graciano v. Mercury General Corp., 231 Cal.App.4th 414 (2014)
Additional Resources
- California Department of Insurance: https://www.insurance.ca.gov/
- CACI Jury Instructions -- Bad Faith (CACI 2330-2337): https://www.courts.ca.gov/partners/317.htm
- United Policyholders -- California: https://uphelp.org/claim-guidance-publications/a-guide-to-your-insurance-legal-rights-in-california/
This template is provided by ezel.ai for informational purposes only. It does not constitute legal advice and should not be used as a substitute for consultation with a qualified attorney licensed in California. California bad faith law is extensive and continuously evolving. Always verify current law and confirm all citations before use.
Last updated: 2026-02-26
About This Template
Insurance law covers the rights of policyholders against insurance companies that deny claims, delay payment, or undervalue losses. Demand letters, proof of loss forms, and bad-faith complaints all have their own state-specific deadlines and format requirements. Carefully written insurance paperwork puts the claim on the record, triggers the insurer's legal obligations, and preserves the right to recover extra damages if the insurer behaves badly.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Last updated: March 2026