Source: https://www.oregonlaws.org/ors/746.230
Timestamp: 2018-12-13 18:45:57
Document Index: 176113080

Matched Legal Cases: ['§588', '§1', '§1', '§79', '§6', '§101']

ORS 746.230 - Unfair claim settlement practices - 2017 Oregon Revised Statutes
2017 ORS Vol. 16 Chapter 746 Section 746.230
746.005
Trade practices exempted from pro­hi­bi­­tions
746.015
Discrimina­tion
Discrimina­tion in issuance of burglary, theft, robbery or casualty policies prohibited
746.025
Securities or other contracts as induce­ment to insurance
746.035
Induce­ments not specified in policy
746.045
Prohibi­tion on rebates
746.055
Title insurance com­mis­sions, rebates and discounts
746.065
Personal or controlled insurance
746.075
Misrepresenta­tion generally
746.085
Regulating replace­ment of life insurance
746.100
Misrepresenta­tion in insurance applica­tions or transac­tions
746.110
False, deceptive or misleading state­ments
746.115
Advertise­ments in languages other than English
746.120
Illegal dealing in premiums
Limita­tion on coverage of eye care services
746.130
Insurance connected to sale or rental of prop­erty
746.135
Genetic tests and in­for­ma­­tion
746.137
Reimburse­ment of private emergency responder’s actual expenses in emergency response
Sale of life insurance with securities
Workers’ compensa­tion insurance
746.147
746.150
746.155
Applicability of ORS 746.145 and 746.150
Practices injurious to free competi­tion
746.195
Insurance on prop­erty securing loan or credit
746.201
Depository institu­tion to obtain re­quired prop­erty insurance when borrower does not
746.213
Defini­tions for ORS 746.213 to 746.219
746.215
Regula­tion of depository institu­tions with regard to insurance sales or solicita­tions
746.217
Disclosures to customers
746.219
746.220
Debtor’s op­tion in furnishing credit life or credit health insurance
746.230
Unfair claim settle­ment practices
746.240
Undefined trade practices injurious to public prohibited
746.260
Driving record not to be considered in issuance of motor vehicle insurance
746.265
Purposes for which abstract of nonemploy­ment driving record may be considered
Use of past invest­ment or predicted future invest­ment experience in sale of variable life insurance policies
Defini­tions for ORS 746.275 to 746.300
Designa­tion of particular motor vehicle repair shop by insurer prohibited
746.285
Notice of pro­hi­bi­­tion in motor vehicle repair shops
Insurer require­ment of installa­tion of aftermarket crash part in vehicle
Insurer offer of crash part warranty
746.290
Notice of pro­hi­bi­­tion in policies and by adjusters
746.295
Proof and amount of loss under motor vehicle liability policies
Liability of insurers and motor vehicle repair shops for damages
746.305
746.308
Viola­tion of pro­vi­sions re­gard­ing totaled vehicles as viola­tion of Insurance Code
2017 ORS 746.230¹
(1) No insurer or other person shall commit or perform any of the following unfair claim settlement practices:
(a) Misrepresenting facts or policy provisions in settling claims;
(b) Failing to acknowledge and act promptly upon communications relating to claims;
(c) Failing to adopt and implement reasonable standards for the prompt investigation of claims;
(d) Refusing to pay claims without conducting a reasonable investigation based on all available information;
(e) Failing to affirm or deny coverage of claims within a reasonable time after completed proof of loss statements have been submitted;
(f) Not attempting, in good faith, to promptly and equitably settle claims in which liability has become reasonably clear;
(g) Compelling claimants to initiate litigation to recover amounts due by offering substantially less than amounts ultimately recovered in actions brought by such claimants;
(h) Attempting to settle claims for less than the amount to which a reasonable person would believe a reasonable person was entitled after referring to written or printed advertising material accompanying or made part of an application;
(i) Attempting to settle claims on the basis of an application altered without notice to or consent of the applicant;
(j) Failing, after payment of a claim, to inform insureds or beneficiaries, upon request by them, of the coverage under which payment has been made;
(k) Delaying investigation or payment of claims by requiring a claimant or the claimant’s physician, naturopathic physician, physician assistant or nurse practitioner to submit a preliminary claim report and then requiring subsequent submission of loss forms when both require essentially the same information;
(L) Failing to promptly settle claims under one coverage of a policy where liability has become reasonably clear in order to influence settlements under other coverages of the policy; or
(m) Failing to promptly provide the proper explanation of the basis relied on in the insurance policy in relation to the facts or applicable law for the denial of a claim.
(2) No insurer shall refuse, without just cause, to pay or settle claims arising under coverages provided by its policies with such frequency as to indicate a general business practice in this state, which general business practice is evidenced by:
(a) A substantial increase in the number of complaints against the insurer received by the Department of Consumer and Business Services;
(b) A substantial increase in the number of lawsuits filed against the insurer or its insureds by claimants; or
(c) Other relevant evidence. [1967 c.359 §588a; 1973 c.281 §1; 1989 c.594 §1; 2014 c.45 §79; 2015 c.59 §6; 2017 c.356 §101]
Insurance underwriter must exercise good faith and due care in the negotia­tions and settle­ment of claims in behalf of its insured. The insurer has duty to exercise at least the same de­gree of care as to the insured’s interest as it exercises as to its own. Grumbling v. Medallion Ins. Co., 392 F Supp 717 (1975)
This sec­tion applies to settle­ment of claims filed against insureds by third parties, as well as claims filed against insurance companies by their insureds. Farris v. U.S. Fid. and Guar. Co., 284 Or 453, 587 P2d 1015 (1978)
Viola­tion of sec­tion of this statute requiring insurers to settle claims promptly and in good faith where liability is reasonably clear does not give rise to tort ac­tion. Employers’ Fire Ins. v. Love It Ice Cream, 64 Or App 784, 670 P2d 160 (1983)
Failure of insurer to at­tempt settle­ment after entry of adverse excess judg­ment may give insured cause of ac­tion against insurer. Goddard v. Farmers Insurance Co., 173 Or App 633, 22 P3d 1224 (2001), Sup Ct review denied
465.479
465.484
Unfair environ­mental claims settle­ment practices
731.028
Applicability of certain Insurance Code pro­vi­sions to State Accident Insurance Fund Corpora­tion
743A.140
2 Legislative Counsel Committee, Annotations to the Oregon Revised Stat­utes, Cumulative Supplement - 2017, Chapter 746, https://­www.­oregonlegislature.­gov/­bills_laws/­ors/­ano746.­html (2017) (last ac­cessed Mar. 30, 2018).