§2436-A. Unfair claims settlement practices
1. Civil actions. A person injured by any of the following actions taken by that person's own insurer may bring a civil action and recover damages, together with costs and disbursements, reasonable attorney's fees and interest on damages at the rate of 1 1/2% per month:
A. Knowingly misrepresenting to an insured pertinent facts or policy provisions relating to coverage at issue; [PL 1997, c. 621, §1 (RPR).]
B. Failing to acknowledge and review claims, which may include payment or denial of a claim, within a reasonable time following receipt of written notice by the insurer of a claim by an insured arising under a policy; [PL 1997, c. 621, §1 (RPR).]
C. Threatening to appeal from an arbitration award in favor of an insured for the sole purpose of compelling the insured to accept a settlement less than the arbitration award; [PL 1997, c. 621, §1 (RPR).]
D. Failing to affirm or deny coverage, reserving any appropriate defenses, within a reasonable time after having completed its investigation related to a claim; or [PL 1997, c. 621, §1 (RPR).]
E. Without just cause, failing to effectuate prompt, fair and equitable settlement of claims submitted in which liability has become reasonably clear. [PL 1997, c. 621, §1 (NEW).]
[PL 1997, c. 621, §1 (RPR).]
2. Without just cause. For the purposes of this section, an insurer acts without just cause if it refuses to settle claims without a reasonable basis to contest liability, the amount of any damages or the extent of any injuries claimed.
[PL 1997, c. 621, §1 (RPR).]
3. No limitation on other cause of action. Nothing in this section prohibits any other claim or cause of action a person has against an insurer.
[PL 1997, c. 621, §1 (NEW).]
4. Application. This section does not apply to workers' compensation claims.
[PL 1997, c. 621, §1 (NEW).]
SECTION HISTORY
PL 1987, c. 291, §2 (NEW). PL 1997, c. 621, §1 (RPR).
Structure Maine Revised Statutes
TITLE 24-A: MAINE INSURANCE CODE
Chapter 27: THE INSURANCE CONTRACT
24-A §2404. Insurable interest -- personal insurance
24-A §2405. Insurable interest -- exception when certain institutions designated beneficiary
24-A §2406. Insurable interest, property
24-A §2407. Power to contract -- purchase of insurance and annuities by minors
24-A §2408. Consent of insured for health and life insurance
24-A §2409. Alteration of application, life and health insurance
24-A §2410. Application; statements; as evidence
24-A §2411. Representations in applications
24-A §2411-A. Payment of fees for filings
24-A §2412. Filing, approval of forms
24-A §2412-A. Large commercial contracts
24-A §2413. Grounds for disapproval
24-A §2414. Standard provisions, in general
24-A §2415. Charter, bylaw provisions
24-A §2416. Execution of policies
24-A §2417. Underwriters' and combination policies
24-A §2418. Validity and construction of noncomplying forms
24-A §2419. Delivery of policy as to motor vehicle insurance
24-A §2420. Assignability; rights of insurer, assignee
24-A §2422. Notice to, knowledge of agent binding on insurer
24-A §2423. Forms for proof of loss to be furnished
24-A §2424. Claims administration not waiver
24-A §2425. Payment discharges insurer
24-A §2427. Minor may give acquittance (REPEALED)
24-A §2428. Exemption of proceeds -- life, endowment, annuity, accident contracts
24-A §2429. Exemption of proceeds, health insurance
24-A §2430. Exemption of proceeds, group insurance
24-A §2431. Exemption of proceeds, individual annuity contracts; assignability of rights
24-A §2432. Exemption of employee's interest; group annuities, pension trusts
24-A §2433. Jurisdiction of courts, limitation of actions
24-A §2434. Suits against foreign insurers
24-A §2436. Interest on overdue payments
24-A §2436-A. Unfair claims settlement practices
24-A §2436-B. Declaratory judgment actions involving insurance policies
24-A §2441. Minimum policy language simplification standards
24-A §2443. Powers of the superintendent
24-A §2450. Eligibility for health insurance in certain cases
24-A §2451. Minimum 3-month policy for motor vehicle liability insurance (REPEALED)
24-A §2452. Employee benefit excess insurance; nondiscrimination; prohibited clauses