1) Misrepresenting of
pertinent facts of insurance policy provisions relating to coverage at
2) Failing to acknowledge and act reasonably and promptly
upon communications with respect to claims arising out of insurance policies.
3) Failing to adopt and implement reasonable standards
for the prompt investigation of claims arising under insurance policies.
4) Refusing to pay claims without conducting a reasonable
investigation based upon all available information.
5) Failing to confirm or deny coverage of claims within a
reasonable time after proof of loss statement has been completed.
6) Not attempting in good faith to effectuate fair and
equitable settlements of claims in which liability has become reasonably clear.
7) Compelling insureds to institute litigation to recover
amounts due under an insurance policy by offering substantially less than the amount
ultimately recovered in actions brought by such insured's.
8) Attempting to settle a
claim for less than the amount to which a reasonable man would have
believed he was entitled by reference to written or printed advertising
material accompanying or made part of an application.
9) Attempting to settle claims on the basis of an
application which was altered without notice to, or knowledge or consent of the insured.
10) Making claims payments to insured or beneficiaries
not accompanied by a statement setting forth the coverage under which the payments are
11) Making known to insureds or claimants a policy of
appealing from arbitration awards in favor of insureds or claimants for the purpose of
compelling them to accept settlements or compromises less than the amount awarded in
12) Delaying the investigation or payment of claims by
requiring an insured, claimant, or the physician of either to submit a preliminary claim
report and then requiring the subsequent submission of formal proof of loss forms, both of
which submissions contain substantially the same information.
13) Failing to promptly settle claims where liability has
become reasonably clear under one portion of the insurance policy coverage in order to
influence settlements under other portions of the insurance policy coverage.
14) Failing to promptly provide a reasonable explanation
of the basis in the insurance policy in relation to the facts or applicable law for denial
of a claim or for the offer of a compromise settlement.