Thoughts on Advances

If you're a reader of insurance blogs, I'm certain you've read the recent warfare between Parks Chastain and Chip Merlin.  They both make good points on the issue of advance payments (see their posts here and here).  The truth is that there really is very little law in Tennessee concerning advance payments.  Even so, Tennessee's Unfair Claims Settlement Act of 2009 provides some guidance:

  • An insurer must adopt and implement reasonable standards for the prompt settlement of claims arising under its policies (T.C.A. 56-8-105(3)).  This would seem to necessarily require that an insurance company have standards in place for advances as to undisputed portions of a claim. Even an insurance company would have a hard time making the argument that it doesn't have an obligation to pay a few thousand dollars to its insureds after a fire to ensure that they aren't sleeping on the street until the claim is resolved in full.
  • An insurer must attempt to effectuate prompt, fair, and equitable settlement of claims submitted in which liability has become reasonably clear. (T.C.A. 56-8-105(4)).  In other words, an insurance company has an absolute obligation to promptly pay undisputed portions of a claim.
  • When making a payment, an insurer must indicate the coverage under which payment is being made.  (T.C.A. 56-8-105(10)).  Certainly an insurance company is entitled to a credit against the policy limits of the applicable coverage when it makes an advance, but this provision makes it mandatory that the insurance company let the insured know the coverage under which an advance is being made.  
Trackbacks (0) Links to blogs that reference this article Trackback URL
http://www.tninsurancelitigation.com/admin/trackback/152306
Comments (1) Read through and enter the discussion with the form at the end
shirley heflin - August 25, 2009 12:05 PM

Dear Mr. McWherter:

I am dumbfounded to see that the "Tennessee Unfair Claims Settlement Act of 2009" was not instituted until this year!! Apparently, the rights and laws regarding claims practices, procedures, etc., that Florida citizens have enjoyed and taken for granted for many, many years, are just now being afforded to the citizens of Tennesse this year!

I suppose the moral here is "BETTER LATE THAN NEVER."

SHIRLEY HEFLIN

Post A Comment / Question Use this form to add a comment to this entry.







Remember personal info?
Send To A Friend Use this form to send this entry to a friend via email.