Uninsured/Underinsured Motorist Complaint - Louisiana
UNINSURED / UNDERINSURED MOTORIST COMPLAINT
Table of Contents
- Caption
- Parties
- Jurisdiction and Venue
- General Allegations
- Policy Identification and Coverage
- UM vs. UIM Status
- First Cause of Action — Breach of Contract (UM/UIM Benefits)
- Second Cause of Action — Bad Faith / Statutory Penalties
- Damages
- Stacking Allegations
- Prayer for Relief
Caption
[JUDICIAL DISTRICT] JUDICIAL DISTRICT COURT
PARISH OF [PARISH NAME], LOUISIANA
| [PLAINTIFF FULL NAME], | Docket No.: [________________________________] |
| Plaintiff, | |
| vs. | PETITION FOR DAMAGES |
| [INSURANCE COMPANY NAME], | (Uninsured/Underinsured Motorist) |
| Defendant. | |
| Division: [____] |
Parties
-
Petitioner [PLAINTIFF FULL NAME] ("Petitioner") is a person of the full age of majority, domiciled in [CITY], [PARISH] Parish, Louisiana, and is an insured under the automobile insurance policy described herein.
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Defendant [INSURANCE COMPANY NAME] ("Defendant Insurer") is a foreign/domestic insurance corporation authorized to transact business in the State of Louisiana, with its principal place of business at [INSURER ADDRESS], which may be served through the Louisiana Secretary of State or its registered agent.
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[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 Petitioner's damages].
Jurisdiction and Venue
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This district court has original jurisdiction over this civil action under La. Const. art. V, § 16(A)(1).
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Venue is proper in [PARISH] Parish under [APPLICABLE VENUE ARTICLE] because [STATE THE FACTS SUPPORTING VENUE FOR EACH CLAIM AND DEFENDANT].
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Petitioner seeks damages reasonable in the premises, subject to La. C.C.P. art. 893.
General Allegations
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On or about [DATE OF ACCIDENT], at approximately [TIME], Petitioner was [☐ operating / ☐ a passenger in] a motor vehicle on [STREET/HIGHWAY], in [CITY], [PARISH] Parish, Louisiana.
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At said time and place, the Uninsured/Underinsured Motorist negligently operated a motor vehicle, causing a collision with Petitioner's vehicle.
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The Uninsured/Underinsured Motorist was at fault due to the following acts of negligence:
☐ Failure to maintain a safe speed
☐ Failure to yield the right of way
☐ Failure to maintain a proper lookout
☐ Following too closely
☐ Driving under the influence of alcohol or drugs
☐ Running a red light or stop sign
☐ Improper lane change
☐ Violation of La. R.S. 32:[SPECIFIC TRAFFIC STATUTE]
☐ Other: [________________________________]
- As a direct and proximate result of the collision, Petitioner sustained serious bodily injuries, incurred medical expenses, lost wages, and experienced pain and suffering.
Policy Identification and Coverage
-
At the time of the accident, Petitioner 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").
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The Policy provides uninsured/underinsured motorist ("UM") bodily injury coverage with limits of $[UM LIMIT PER PERSON] per person / $[UM LIMIT PER ACCIDENT] per accident.
-
Petitioner [☐ did not reject UM coverage / ☐ selected UM coverage at limits lower than liability limits / ☐ selected economic-only UM coverage] pursuant to La. R.S. 22:1295(1)(a)(ii).
-
Petitioner has paid all premiums due under the Policy and has complied with all conditions precedent.
UM vs. UIM Status
Select one:
☐ Uninsured Motorist (UM) Claim:
- The at-fault motorist was uninsured at the time of the accident within the meaning of La. R.S. 22:1295, in that [☐ the at-fault motorist had no bodily injury liability insurance in effect / ☐ the at-fault motorist is unknown (hit-and-run) / ☐ the at-fault motorist's insurer is insolvent / ☐ the at-fault motorist's insurer has denied coverage].
☐ Underinsured Motorist (UIM) Claim:
-
The at-fault motorist maintained bodily injury liability coverage with limits of $[TORTFEASOR POLICY LIMIT], which is insufficient to compensate Petitioner for the full extent of damages sustained.
-
Petitioner has received $[AMOUNT, IF ANY] from or on behalf of the at-fault motorist through [SETTLEMENT / JUDGMENT / NO PAYMENT TO DATE].
-
[IF A PROPOSED SETTLEMENT EXISTS AND THE POLICY REQUIRES NOTICE: Petitioner provided Defendant Insurer the notice required by [IDENTIFY POLICY PROVISION] on [DATE].]
First Cause of Action
Breach of Contract (UM/UIM Benefits)
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Petitioner incorporates by reference all preceding paragraphs.
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The Policy constitutes a valid and enforceable contract between Petitioner and Defendant Insurer.
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Petitioner has performed all conditions required under the Policy.
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Defendant Insurer has breached the Policy by failing and refusing to pay UM/UIM benefits owed to Petitioner, despite Petitioner's timely demand and submission of proof of loss.
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As a direct result of Defendant Insurer's breach, Petitioner has sustained damages in an amount to be proven at trial and requests the UM/UIM benefits owed under the Policy. Petitioner alleges generally that the claim [exceeds / does not exceed] the amount required for [the requested court's jurisdiction / a jury trial], if that allegation is needed.
Second Cause of Action
Bad Faith / Statutory Penalties (La. R.S. 22:1892; former § 22:1973 repealed eff. 7/1/2024)
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Petitioner incorporates by reference all preceding paragraphs.
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Petitioner made written demand upon Defendant Insurer for payment of the UM/UIM claim on or about [DATE OF DEMAND].
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More than thirty (30) days have elapsed since receipt of satisfactory proof of loss, and Defendant Insurer has failed to tender payment without just cause.
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Defendant Insurer's failure to timely pay constitutes a violation of La. R.S. 22:1892, entitling Petitioner to a penalty of fifty percent (50%) of the amount due, or $1,000, whichever is greater, plus reasonable attorney's fees and costs.
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Defendant Insurer's conduct further constitutes a breach of the insurer good-faith and fair-dealing duty under La. R.S. 22:1892(I), entitling Petitioner, if the statutory elements are proven, to proven economic damages and the non-immovable-claim penalty, attorney fees, and costs authorized by that subsection. Act 932 of 2026 is scheduled to amend § 22:1892(I) effective August 1, 2026 and restrict Subsection I causes of action for personal- or bodily-injury claims in specified circumstances; counsel must apply the version governing the claim and alleged conduct. Any alternative reliance on former § 22:1973 requires claim-specific retroactivity analysis.
-
Defendant Insurer's bad faith conduct includes:
☐ Unreasonably delaying investigation of the claim
☐ Failing to make a reasonable offer within the statutory period
☐ Denying benefits without reasonable basis
☐ Misrepresenting coverage terms or policy provisions
☐ Compelling Petitioner to initiate litigation to recover amounts due
☐ Other: [________________________________]
Damages
- As a result of the accident and Defendant Insurer's breaches, Petitioner has suffered and continues to suffer the following damages:
☐ Past medical expenses
☐ Future medical expenses
☐ Past lost wages/earnings
☐ Future lost wages/earning capacity
☐ Physical pain and suffering (past and future)
☐ Mental anguish and emotional distress
☐ Loss of enjoyment of life
☐ Scarring and disfigurement
☐ Loss of consortium (if applicable)
☐ Property damage (UMPD, if applicable)
☐ Statutory penalties under La. R.S. 22:1892(B) (50% or $1,000, whichever is greater) and/or § 1892(I) (consolidated good-faith duty, post-7/1/2024: proven economic damages plus 50% or $5,000, whichever is greater) or, for pre-7/1/2024 losses, former § 22:1973 (up to twice damages or $5,000, whichever is greater)
☐ Reasonable attorney's fees and costs
☐ Legal interest from date of judicial demand
Stacking Allegations
-
☐ Non-owned-vehicle excess coverage, if applicable: At the time of injury, Petitioner occupied a vehicle not owned by Petitioner, a resident spouse, or a resident relative. The UM coverage on that vehicle is primary. If it is exhausted by the extent of damages, Petitioner seeks excess coverage under one other available UM policy, as allowed by La. R.S. 22:1295(1)(c). Identify the primary policy, its exhaustion, and the one excess policy: [________________________________].
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☐ No additional UM policy applies: Petitioner relies on the applicable UM coverage identified above and does not seek an increase merely because the Policy covers multiple vehicles or because another UM policy exists. La. R.S. 22:1295(1)(c).
Prayer for Relief
WHEREFORE, Petitioner prays that after due proceedings, judgment be rendered in favor of Petitioner and against Defendant Insurer as follows:
- For compensatory damages in an amount according to proof at trial;
- For UM/UIM policy benefits in the full amount owed under the Policy;
- For statutory penalties under La. R.S. 22:1892 (50% penalty or $1,000, whichever is greater);
- For statutory penalties under La. R.S. 22:1892(I) (consolidated good-faith duty, post-7/1/2024: proven economic damages plus 50% of damages sustained or $5,000, whichever is greater) or, in the alternative for losses pre-dating July 1, 2024, former La. R.S. 22:1973 (up to twice damages sustained or $5,000, whichever is greater);
- For reasonable attorney's fees;
- For legal interest from date of judicial demand;
- For all costs of these proceedings; and
- For such other and further relief as this Court deems just and equitable.
RESPECTFULLY SUBMITTED,
[ATTORNEY NAME], La. Bar Roll No. [BAR NUMBER]
[FIRM NAME]
[FIRM ADDRESS]
[CITY], Louisiana [ZIP CODE]
Telephone: [________________________________]
Email: [________________________________]
Attorney for Petitioner
State-Specific Notes — Louisiana
| Topic | Detail |
|---|---|
| UM/UIM Coverage | Included by default, subject to rejection, lower-limit selection, or economic-only selection on the Commissioner's prescribed signed form (La. R.S. 22:1295(1)(a)(i)–(ii)); inspect the applicable policy and form. |
| Default Coverage Level | Equal to liability limits if no valid rejection/selection |
| Economic-Only Option | Available; excludes noneconomic loss (pain, suffering, mental anguish, etc.) (La. R.S. 22:1295(1)(a)(i)–(ii)) |
| Stacking | Section 22:1295(1)(c) generally bars increasing UM limits by combining vehicles or policies. For injury while occupying a qualifying non-owned vehicle, its UM coverage is primary and, if exhausted, no more than one other available UM coverage may apply as excess. This is distinct from the prescribed form for rejection or selection of UM coverage under subsection (1)(a). |
| Direct Action | A UM carrier is expressly included in La. R.S. 22:1269(B)(1)(e). This insured also asserts a policy claim directly against the carrier; identify the policy and coverage basis. |
| Prescriptive Period | La. R.S. 9:5629 prescribes two years from the accident for an action to recover motor-vehicle-accident damages under UM/UIM policy provisions. Determine the accident date and file within the applicable period. Separately evaluate any delict claim against the tortfeasor under the law governing that claim; La. C.C. art. 3493.1 does not set the UM/UIM policy-claim period. |
| UMPD | Optional; $25,000 max with $250 deductible |
| Hit-and-Run UM | If the unidentified vehicle had no physical contact with the injured person or occupied vehicle, § 22:1295(1)(f) requires proof from an independent, disinterested witness. A collision involving physical contact is outside that specific witness condition. |
| Bad Faith Remedies | La. R.S. 22:1892(B) and (I) have distinct elements and measures. Act 932 of 2026 is scheduled to limit Subsection I personal/bodily-injury causes of action effective 8/1/2026. Former § 22:1973 was repealed 7/1/2024; prior-law reliance requires claim-specific analysis. |
| Arbitration | Not mandated by statute; depends on policy terms |
| Exhaustion (UIM) | La. R.S. 22:1295(2)(b) defines underinsurance by liability coverage below the insured’s damages, as agreed or adjudicated; it does not impose prior collection of the tortfeasor’s limits. Section 22:1295(4) addresses the UM carrier’s recovery from later settlement or judgment proceeds after payment. Check the actual policy for notice and settlement terms. |
Sources and References
About this template
- Last updated
- October 28, 2026
- Jurisdiction
- Louisiana
- Category
- Personal Injury
Legal authority
- La. R.S. 22:1295
- La. R.S. 22:1296
- La. R.S. 22:1892 (bad faith penalties — Subsection B: 50% or $1,000; Subsection I: proven economic damages plus 50% or $5,000, consolidated good-faith duty as amended by Acts 2024, No. 3 (SB 323), eff. July 1, 2024; former § 22:1973 repealed and folded into § 1892(I))
- La. C.C. art. 3493.1 (two-year prescription for delictual claims within Act 423's prospective scope; not the UM/UIM policy-claim period)
- La. R.S. 9:5629 (two-year prescription from the accident for UM/UIM policy claims arising from motor vehicle accidents)
- La. C.C.P. art. 1001 et seq.
- La. C.C.P. art. 863 (pleading signature; verification generally unnecessary)
- La. C.C.P. art. 893 (pleading of damages)
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.
La. R.S. 22:1295(2)(b) (checked October 28, 2026): "when the automobile liability insurance coverage on such vehicle is less than the amount of damages suffered by an insured"
La. R.S. 22:1295(4) (checked October 28, 2026): "In the event of payment to any person under the coverage required by this Section"
La. R.S. 22:1269(B)(1)(e) (checked October 28, 2026): "When the insurer is an uninsured motorist carrier."
La. R.S. 22:1295(1)(f) (checked October 27, 2026): "Uninsured motorist coverage shall include coverage for bodily injury arising out of a motor vehicle accident caused by an automobile which has no physical contact with the injured party or with a vehicle which the injured party is occupying at the time of the accident, provided that the injured party bears the burden of proving, by an independent and disinterested witness, that the injury was the result of the actions of the driver of another vehicle whose identity is unknown or who is uninsured or underinsured."
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