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Bob, a California resident, is a claimant in an auto accident where Cobb sideswiped his vehicle in the same State with a vehicle registered also in the same State.

Cobb leaves the scene without providing insurance information, but Bob obtains sufficient information on Cobb's vehicle. Neither Bob, nor Cobb get injured and they leave the scene in good health. Bob obtains the insurance information of Cobb subsequently of a policy at Delta, Inc.

Bob put Delta on notice of his claim by a recorded statement which Delta, Inc. acknowledged, and promised in return to obtain a statement or declaration of Cobb.

If Delta, Inc. does not manage to obtain a statement or declaration from Cobb within a reasonable time, the evidence will remain Bob's recorded statement. What case law or case laws define any maxim or narrow the interpretation of what is "reasonable" for Delta, Inc. to settle the claim?


Cases

Reasonable time to settle

"A claim for “wrongful refusal to settle” requires proof the insurer unreasonably failed to accept an otherwise reasonable offer within the time specified by the third party for acceptance. (Critz v. Farmers Ins. Group (1964) 230 Cal.App.2d 798, 41 Cal.Rptr. 401) The third party is entitled to set a reasonable time limit within which the insurer must accept the settlement proposal (boldface type added) (Martin v. Hartford Acc. & Indem. Co. (1964) 228 Cal.App.2d 178, 185, 39 Cal.Rptr. 342), and even a one-week limitation attached to a settlement offer does not preclude a finding of bad faith rejection under some circumstances." (Graciano v. Mercury General Corporation, 179 Cal. Rptr. 3d 717 (Cal. Ct. App. 2014))

Statutes

Ins. Code § 790.3 (h) (1)-(3), (5), (10)-(13), et seq.;

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    Delta, Co. is ambiguous as it could be a city in Colorado. Delta, Inc. may be what you intend.
    – ohwilleke
    Jul 6, 2021 at 22:38
  • @ohwilleke Never crossed my mind, fixed it, thank you!
    – kisspuska
    Jul 6, 2021 at 22:53

1 Answer 1

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Delta (which appears to be Cobb's liability insurance company) has no obligation to pay Bob's claim promptly or to respond to Bob.

Bob's remedy is to sue Cobb for sideswiping his car within the statute of limitations (three years for property damage without personal injuries in an automobile accident in California) for doing so.

Delta's obligation is to Cobb. Cobb may have a claim for bad faith breach of insurance contract against Delta if Cobb seeks coverage from Delta, and Delta fails to either pay or provide a defense if Cobb is sued. But, this obligation doesn't extend to Bob.

For example, parse the quotation from the case you cite carefully, noting the words that I have put in bold:

to make reasonable efforts to settle a third party's lawsuit against the insured. If the insurer breaches the implied covenant by unreasonably refusing to settle the third party suit, the insured may sue the insurer in tort to recover damages proximately caused by the insurer's breach.

Graciano v. Mercury General Corporation, 231 Cal.App.4th 414 (2014).

The right to sue for bad faith belongs to the insured who paid for the policy, not the victim of the insured's bad driving. And, the obligation to settle arises only once the victim of the insured's bad driving actually sues or threatens to sue the insured. Until that happens, liability has not "become apparent" so the common law duty to settle, superseded in California by the statutory duty to settle, hasn't been triggered.

The fact that Bob contacted Delta is still good for Bob. It prevents Delta from refusing to provide coverage to Cobb if Cobb didn't him or herself provide prompt notice of the potential claim to Delta (since timely notice of a claim is a condition precedent to the obligation to pay the claim under the insurance contract) so that it could make a timely investigation of the claim and mitigate its damages. The deadline to notify Delta of the incident is a reasonable time not more than twenty days unless no prejudice results from the delay (see also here).

A timely claim is also more credible evidence of liability and damages which, in turn, increases the settlement value of the case if Cobb does ask the insurance company to pay the claim. But a lawsuit or settlement demand from Bob has to be made to Cobb, not Delta. Delta isn't an agent of Cobb just become it is his insurance company.

"A claim for “wrongful refusal to settle” requires proof the insurer unreasonably failed to accept an otherwise reasonable offer within the time specified by the third party for acceptance.

Id.

In the OP, the victim of insured bad driving hasn't even threatened to sue, let alone made a settlement offer to the insured with a reasonable deadline for acceptance. The insurance company doesn't even have the authority to settle without the permission of the insured. A bad faith claim from failure to settle arises when a settlement offer is submitted to the insured or the insured's lawyer (typically provided by the insurance company at the insured company's expense, but for whom the insured and not the insurance company is the client) which is forwarded to the insured's insurance company for approval or rejection.

Similarly, in the case of the statute quoted in the comments, the key point to understand is that the claimant, vis-a-vis the insurance company, is Cobb and not Bob. ("Claimant" can be a somewhat broader term than "insured", but this is generally in more complicated fact patterns, such as where the insured has assigned a right to payment from the insurance company to a body shop under a policy covering damage to the insured's own car or under uninsured motorist coverage).

Generally speaking, a payment on a claim is made to the insured or to another person at the direction of the insured or the insured's attorney. In this context, Bob has no claim against the insurance company or any relationship or privity with the insurance company. If Emma who is insured by Amica instead of Delta hit Bob, then Bob would similarly have no claim against Delta since he has not relationship to it.

This statute applies when Cobb submits a claim to have his liability settled or paid by the insurance company and the insurance company fails to do so.

(11) Delaying the investigation or payment of claims by requiring a[...] claimant [...] 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.

(12) Failing to settle claims promptly, where liability has become apparent, under one portion of the insurance policy coverage in order to influence settlements under other portions of the insurance policy coverage.

(13) Failing to provide promptly a reasonable explanation of the basis relied on in the insurance policy, in relation to the facts or applicable law, for the denial of a claim or for the offer of a compromise settlement.

Cal. Ins. Code §790-790.3

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  • Thank you for clarifying the legal duties! It makes sense
    – kisspuska
    Jul 6, 2021 at 23:12
  • This is what I remembered, and kept bugging my mind: Cal. Ins. Code §790-790.3 (11) Delaying the investigation or payment of claims by requiring a[...] claimant [...] 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. (12) Failing to settle claims promptly, where liability has become apparent, under one portion of the insurance policy coverage in order to influence settlements under other portions of the insurance policy coverage.
    – kisspuska
    Jul 7, 2021 at 4:48
  • (13) Failing to provide promptly a reasonable explanation of the basis relied on in the insurance policy, in relation to the facts or applicable law, for the denial of a claim or for the offer of a compromise settlement. It appears to me that some of the provisions apply towards anyone making a claim, some only to insureds some towards both an insured and a claimant. Am I missing something?
    – kisspuska
    Jul 7, 2021 at 4:49
  • This case has many relevant precedents to this question, I'll update my question: Coleman v. Gulf Ins. Group, 41 Cal.3d 782 (Cal. 1986)
    – kisspuska
    Jul 7, 2021 at 5:04
  • Bob isn't a "claimant". The "claimant" is the first party insured. Cal. In. Code § 790-790.3 applies if Cobb gets blown off by the insurance company, not if Bob does.
    – ohwilleke
    Jul 7, 2021 at 16:25

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