Uninsured/Underinsured Motorist Complaint - Arkansas

Arkansas Personal Injury Updated October 26, 2026 Free Word and PDF

UNINSURED / UNDERINSURED MOTORIST COMPLAINT

Table of Contents

  1. Caption
  2. Parties
  3. Jurisdiction and Venue
  4. General Allegations
  5. Policy Identification and Coverage
  6. UM vs. UIM Status
  7. Count One — Breach of Contract (UM/UIM Benefits)
  8. Count Two — Bad Faith
  9. Damages
  10. Jury Demand
  11. Prayer for Relief

Caption

IN THE CIRCUIT COURT OF [COUNTY NAME] COUNTY, ARKANSAS

[DIVISION NAME] DIVISION

[PLAINTIFF FULL NAME], Case No.: [________________________________]
Plaintiff,
v. COMPLAINT
[INSURANCE COMPANY NAME], (Uninsured/Underinsured Motorist)
Defendant.

Parties

  1. Plaintiff, [PLAINTIFF FULL NAME] ("Plaintiff"), is an individual residing at [PLAINTIFF ADDRESS], [CITY], [COUNTY] County, Arkansas [ZIP CODE], and is an insured under the automobile insurance policy described herein.

  2. Defendant, [INSURANCE COMPANY NAME] ("Defendant Insurer"), is an insurance company authorized to transact business in the State of Arkansas, with its principal place of business at [INSURER ADDRESS].

  3. [JOHN/JANE DOE] ("Uninsured/Underinsured Motorist") is an individual who, at all relevant times, operated a motor vehicle [☐ without liability insurance / ☐ with liability insurance inadequate to compensate Plaintiff's damages].


Jurisdiction and Venue

  1. This Circuit Court has original jurisdiction over this civil action under Ark. Const. amend. 80, § 6(A).

  2. Venue is proper in [COUNTY] County under Ark. Code Ann. § 16-60-101 because [IDENTIFY FACTS SUPPORTING THE SELECTED VENUE BASIS].

  3. Venue is proper in [COUNTY] County pursuant to Ark. Code § 16-60-101 because [☐ a substantial part of the event or omission occurred here / ☐ Defendant Insurer had its Arkansas principal office here when the event or omission occurred / ☐ Plaintiff resided here at that time]. Select only supported grounds and check any applicable specific venue provision before filing.


General Allegations

  1. On or about [DATE OF ACCIDENT], at approximately [TIME], Plaintiff was [☐ operating / ☐ a passenger in] a motor vehicle on [STREET/HIGHWAY/ROUTE], in or near [CITY], [COUNTY] County, Arkansas.

  2. At said time and place, the Uninsured/Underinsured Motorist negligently operated a motor vehicle, proximately causing a collision with Plaintiff's vehicle.

  3. The Uninsured/Underinsured Motorist was negligent in one or more of the following respects:

☐ Operating a vehicle at an excessive or unreasonable speed (Ark. Code § 27-51-201)
☐ Failure to yield the right of way (Ark. Code § 27-51-601)
☐ Following too closely (Ark. Code § 27-51-305)
☐ Driving while intoxicated (Ark. Code § 5-65-103)
☐ Failure to obey a traffic control device (Ark. Code § 27-52-105)
☐ Improper lane change (Ark. Code § 27-51-302)
☐ Texting while driving (Ark. Code § 27-51-1504)
☐ Failure to maintain a proper lookout
☐ Other: [________________________________]

  1. As a direct and proximate result of the above-described negligence, Plaintiff sustained serious bodily injuries and damages.

Policy Identification and Coverage

  1. At the time of the accident, Plaintiff was insured under an automobile insurance policy issued by Defendant Insurer, Policy No. [POLICY NUMBER], effective from [POLICY START DATE] to [POLICY END DATE] (the "Policy").

  2. The Policy includes uninsured motorist ("UM") bodily injury coverage with limits of $[UM LIMIT PER PERSON] per person / $[UM LIMIT PER ACCIDENT] per accident.

  3. The Policy includes underinsured motorist ("UIM") bodily injury coverage with limits of $[UIM LIMIT PER PERSON] per person / $[UIM LIMIT PER ACCIDENT] per accident.

  4. Plaintiff has paid all premiums due under the Policy and has complied with all conditions precedent to recovery.

  5. Plaintiff did not execute a valid written rejection of UM coverage as required by Ark. Code § 23-89-403.


UIM Coverage Election

  1. ☐ Plaintiff elected UM coverage, and the insurer subsequently offered UIM coverage pursuant to Ark. Code § 23-89-209.

☐ Plaintiff elected UIM coverage in the amount of $[UIM LIMIT] per person / $[UIM LIMIT] per accident.


Stacking Provisions

  1. ☐ Plaintiff claims stacking of UM/UIM coverages across [NUMBER] vehicles / [NUMBER] policies.

☐ The Policy [☐ contains / ☐ does not contain] an anti-stacking provision.


UM vs. UIM Status

Select one:

☐ Uninsured Motorist (UM) Claim:

  1. The at-fault motorist was uninsured at the time of the accident in that [☐ no bodily injury liability policy was in effect / ☐ the at-fault motorist is unknown (hit-and-run) / ☐ the at-fault motorist's insurer denied coverage or is insolvent].

☐ Underinsured Motorist (UIM) Claim:

  1. The at-fault motorist maintained bodily injury liability coverage with limits of $[TORTFEASOR POLICY LIMIT], which is less than Plaintiff's damages of $[DAMAGES AMOUNT]. Ark. Code Ann. § 23-89-209(a) defines underinsurance by comparison with damages, not Plaintiff's UIM policy limits. UIM benefits are not reduced by the tortfeasor's coverage except to prevent recovery above actual damages.

  2. Plaintiff has exhausted the at-fault motorist's bodily injury liability limits and received $[AMOUNT RECOVERED FROM TORTFEASOR] in [☐ settlement / ☐ judgment].

  3. Defendant Insurer was provided with timely written notice and the opportunity to consent to the settlement with the tortfeasor's insurer.


Count One

Breach of Contract (UM/UIM Benefits)

  1. Plaintiff re-alleges and incorporates by reference paragraphs 1 through 21.

  2. The Policy constitutes a valid and enforceable contract between Plaintiff and Defendant Insurer.

  3. Plaintiff has performed all obligations and satisfied all conditions precedent required under the Policy.

  4. Defendant Insurer has breached the Policy by failing and refusing to pay UM/UIM benefits owed to Plaintiff despite proper and timely demand.

  5. As a direct and proximate result of Defendant Insurer's breach, Plaintiff has been damaged in an amount to be proven at trial.


Count Two

Bad Faith

  1. Plaintiff re-alleges and incorporates by reference paragraphs 1 through 26.

  2. Under Arkansas law, an insurer owes a duty of good faith and fair dealing to its insureds. An insurer may be liable for the tort of bad faith when it affirmatively engages in dishonest, malicious, or oppressive conduct to avoid a just obligation to the insured. Aetna Cas. & Sur. Co. v. Broadway Arms Corp., 281 Ark. 128 (1983).

  3. Defendant Insurer engaged in the following affirmative misconduct to avoid its policy obligation: [DESCRIBE SPECIFIC DISHONEST, MALICIOUS, OR OPPRESSIVE ACTS SUPPORTED BY EVIDENCE].

  4. This misconduct was dishonest, malicious, or oppressive, and was undertaken without a good-faith defense to avoid liability under the Policy. Plaintiff seeks damages available for the tort of bad faith as proven at trial.


Damages

  1. As a result of the accident and Defendant Insurer's breaches, Plaintiff has suffered the following damages:

☐ Past medical expenses: $[AMOUNT]
☐ Future medical expenses: $[AMOUNT]
☐ Past lost wages/earnings: $[AMOUNT]
☐ Future lost wages/earning capacity: $[AMOUNT]
☐ Pain and suffering (past and future): $[AMOUNT]
☐ Mental anguish and emotional distress: $[AMOUNT]
☐ Physical disability and disfigurement: $[AMOUNT]
☐ Loss of enjoyment of life: $[AMOUNT]
☐ Loss of consortium (if applicable): $[AMOUNT]
☐ Punitive damages (bad faith claim): According to proof
☐ Statutory penalty of 12% (Ark. Code § 23-79-208)
☐ Prejudgment interest
☐ Attorney's fees (Ark. Code § 23-79-208)
☐ Costs of suit


Jury Demand

Plaintiff hereby demands a trial by jury on all issues so triable.


Prayer for Relief

WHEREFORE, Plaintiff demands judgment against Defendant Insurer as follows:

  1. Compensatory damages in the specified amount of $[AMOUNT], subject to proof at trial;
  2. UM/UIM benefits in the full amount owed under the Policy;
  3. Punitive damages for Defendant Insurer's bad faith;
  4. Statutory 12% penalty pursuant to Ark. Code § 23-79-208;
  5. Attorney's fees pursuant to Ark. Code § 23-79-208;
  6. Prejudgment interest as permitted by law;
  7. Costs of this action; and
  8. Such other and further relief as this Court deems just and equitable.

Respectfully submitted,

[ATTORNEY NAME], Arkansas Bar No. [BAR NUMBER]
[FIRM NAME]
[FIRM ADDRESS]
[CITY], Arkansas [ZIP CODE]
Telephone: [________________________________]
Email: [________________________________]
Attorney for Plaintiff


State-Specific Notes — Arkansas

Topic Detail
UM Mandatory? Mandatory in every auto liability policy unless rejected in writing (Ark. Code § 23-89-403)
Rejection Must be in writing; continues until withdrawn in writing by insured
Default if Not Rejected UM coverage included at no less than statutory minimum BI limits ($25,000/$50,000 per § 27-19-605)
UIM Availability Available only if insured has first elected UM coverage (§ 23-89-209); insurer not required to offer UIM otherwise
Stacking Generally permitted absent a valid anti-stacking policy clause; review policy language
Arbitration Per policy terms; not statutorily mandated
Bad Faith Tort recognized — Aetna v. Broadway Arms, 281 Ark. 128 (1983); requires dishonest/malicious/oppressive conduct
Statutory Penalty 12% penalty and attorney's fees for failure to timely pay (Ark. Code § 23-79-208)
SOL — Contract 5 years for written contracts (Ark. Code § 16-56-111)
SOL — Personal Injury 3 years (Ark. Code § 16-56-105)
Hit-and-Run Check policy terms for physical contact requirement
Liability-limits settlement (UIM) For a tentative settlement at the tortfeasor's liability limits, § 23-89-209(c) permits certified-mail written notice with the required supporting documents. If given, the UIM insurer has 30 days to substitute the settlement payment to preserve its subrogation rights under subsection (d). Subsections (c)-(d) are waived under subsection (e) when the same insurer provides both policies. Review the policy and preserve any applicable rights before settling.

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About this template

Last updated
October 26, 2026
Jurisdiction
Arkansas
Category
Personal Injury

Legal authority

  • Ark. Code § 23-89-403 (Bodily Injury Coverage Required — UM)
  • Ark. Code § 23-89-209 (Underinsured Motorist Coverage)
  • Ark. Code § 23-89-404 (Property Damage Coverage)
  • Ark. Code § 27-19-605 (Minimum Liability Limits)
  • Ark. Code § 16-56-111 (Five-Year Written Contract SOL)
  • Ark. Code § 16-60-101 (general venue in circuit courts)

Personal injury cases are brought by people who were hurt because of someone else's carelessness: car crashes, slip and falls, defective products, and more. Demand letters, settlement agreements, and court filings in these cases have to document the injuries, the medical treatment, the lost income, and the exact legal basis for holding the other side responsible. Well-prepared paperwork is what drives higher settlements and forces insurers to take the claim seriously.

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.

Ark. Code Ann. § 23-89-209(a)-(d) (Act 1180 of 1993, § 1) (checked October 26, 2026): "Underinsured motorist coverage as described in this section shall not be available to insureds nor shall insurers be mandated to offer same unless the insured has elected uninsured motorist coverage ... whenever the liability insurance limits of such other owner or operator are less than the amount of the damages incurred by the insured."

Ark. Code Ann. § 23-89-209(e) (Act 284 of 1997, § 1) (checked October 26, 2026): "In the event that the tortfeasor's motor vehicle liability insurance carrier and the underinsured motorist coverage are provided by the same insurance company, the requirements of section (c) and (d) are hereby waived"

Ark. R. Civ. P. 8(a) (checked October 24, 2026): "In claims for unliquidated damage, a demand containing no specified amount of money shall limit recovery to an amount less than required for federal court jurisdiction in diversity of citizenship cases, unless language of the demand indicates that the recovery sought is in excess of such amount."

Aetna Casualty & Surety Co. v. Broadway Arms Corp., 281 Ark. 128 (1983) (checked October 11, 2026): "a claim based on the tort of bad faith must include affirmative misconduct by the insurance company, without a good faith defense, and the misconduct must be dishonest, malicious, or oppressive in an attempt to avoid its liability under an insurance policy"

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