Sec. 541.060. UNFAIR SETTLEMENT PRACTICES. (a) It is an unfair method of competition or an unfair or deceptive act or practice in the business of insurance to engage in the following unfair settlement practices with respect to a claim by an insured or beneficiary:
(1) misrepresenting to a claimant a material fact or policy provision relating to coverage at issue;
(2) failing to attempt in good faith to effectuate a prompt, fair, and equitable settlement of:
(A) a claim with respect to which the insurer's liability has become reasonably clear; or
(B) a claim under one portion of a policy with respect to which the insurer's liability has become reasonably clear to influence the claimant to settle another claim under another portion of the coverage unless payment under one portion of the coverage constitutes evidence of liability under another portion;
(3) failing to promptly provide to a policyholder a reasonable explanation of the basis in the policy, in relation to the facts or applicable law, for the insurer's denial of a claim or offer of a compromise settlement of a claim;
(4) failing within a reasonable time to:
(A) affirm or deny coverage of a claim to a policyholder; or
(B) submit a reservation of rights to a policyholder;
(5) refusing, failing, or unreasonably delaying a settlement offer under applicable first-party coverage on the basis that other coverage may be available or that third parties are responsible for the damages suffered, except as may be specifically provided in the policy;
(6) undertaking to enforce a full and final release of a claim from a policyholder when only a partial payment has been made, unless the payment is a compromise settlement of a doubtful or disputed claim;
(7) refusing to pay a claim without conducting a reasonable investigation with respect to the claim;
(8) with respect to a Texas personal automobile insurance policy, delaying or refusing settlement of a claim solely because there is other insurance of a different kind available to satisfy all or part of the loss forming the basis of that claim; or
(9) requiring a claimant as a condition of settling a claim to produce the claimant's federal income tax returns for examination or investigation by the person unless:
(A) a court orders the claimant to produce those tax returns;
(B) the claim involves a fire loss; or
(C) the claim involves lost profits or income.
(b) Subsection (a) does not provide a cause of action to a third party asserting one or more claims against an insured covered under a liability insurance policy.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1, 2005.
Notes of Decisions
Usaa Texas Lloyds Co. v. Gail Menchaca, 545 S.W.3d 479 (Tex. 2018).
· cites it 4× “, TEX. INS. CODE § 541.060 (prohibiting an insurer from "requiring a claimant as a condition of settling a claim to produce the claimant's federal income tax returns").”
Texas Mut. Ins. Co. v. Ruttiger, 381 S.W.3d 430 (Tex. 2012).
· cites it 3× “Tex. Ins.Code § 541.060. TMIC asserts that because the Labor Code and WCD rules set specific deadlines and procedures for both paying and denying workers’ compensation claims and impose administrative penalties for failing to comply with them, allowing recovery under the…”
Mid-Continent Cas. Co. v. Eland Energy, Inc., 795 F. Supp. 2d 493 (N.D. Tex. 2011).
· cites it 11× “Mid-Continent maintains that the court should not have submitted a common law tort question to the jury because the only non -Stoivers liability of an insurer for handling a third-party claim is statutory liability under Tex. Ins. Code Ann. § 541.060 (a) (West 2003 & Supp.”
Ramirez v. GEICO, 548 S.W.3d 761 (Tex. App. 2018).
· cites it 5× “" TEX.INS.CODE ANN. § 541.060 (a)(2)(A) ; see also USAA Texas Lloyds Co.”
Messersmith v. Nationwide Mut. Fire Ins., 10 F. Supp. 3d 721 (N.D. Tex. 2014).
· cites it 4× “Based on these events, Plaintiff alleges that Defendants violated a multitude of laws: Tex. Ins.Code § 541.060; the Prompt Payment of Claims Act, Tex.”
Hall Arts Ctr. Off., LLC v. Hanover Ins. Co., 327 F. Supp. 3d 979 (N.D. Tex. 2018).
· cites it 3× “a claim with respect to which the insurer's liability has become reasonably clear[,]" Tex. Ins. Code Ann. § 541.060 (a)(2)(A) (West 2018); "failing within a reasonable time to.”
Onebeacon Ins. Co. v. T. Wade Welch & Assocs., 841 F.3d 669 (5th Cir. 2016).
“” Tex. Ins. Code § 541.060(a)(2)(A). To have acted “knowingly,” OneBeacon must have acted with actual awareness of the falsity, unfairness, or deceptiveness of the act that made it liable under Chapter 541.”
Escuadra v. Geovera Specialty Ins., 739 F. Supp. 2d 967 (E.D. Tex. 2010).
· cites it 6× “Tex. Ins. Code Ann. § 541.060 (a)(4). 5. Refused to pay plaintiffs claim without conducting a reasonable investigation.”
Texas Mut. Ins. Co. v. Ruttiger, 265 S.W.3d 651 (Tex. App. 2008).
· cites it 2× “Applying TMI’s rationale, a party would never be able to file suit against an insurer based upon a compensability dispute, no matter how unreasonable the dispute, as long as the insurer promptly provided benefits once it entered into the Benefit Dispute Agreement and agreed to…”
— Tex. Ins. Code § 541.060(1) — 1 case
— Tex. Ins. Code § 541.060(2) — 3 cases
— Tex. Ins. Code § 541.060(2)(A) — 1 case
— Tex. Ins. Code § 541.060(7) — 2 cases
— Tex. Ins. Code § 541.060(A)(1) — 1 case
— Tex. Ins. Code § 541.060(a) — 44 cases
Usaa Texas Lloyds Co. v. Gail Menchaca, 545 S.W.3d 479 (Tex. 2018).
“, TEX. INS. CODE § 541.060 (prohibiting an insurer from "requiring a claimant as a condition of settling a claim to produce the claimant's federal income tax returns").”
Texas Mut. Ins. Co. v. Ruttiger, 381 S.W.3d 430 (Tex. 2012).
“Tex. Ins.Code § 541.060. TMIC asserts that because the Labor Code and WCD rules set specific deadlines and procedures for both paying and denying workers’ compensation claims and impose administrative penalties for failing to comply with them, allowing recovery under the…”
— Tex. Ins. Code § 541.060(a)(1) — 56 cases
Messersmith v. Nationwide Mut. Fire Ins., 10 F. Supp. 3d 721 (N.D. Tex. 2014).
“Based on these events, Plaintiff alleges that Defendants violated a multitude of laws: Tex. Ins.Code § 541.060; the Prompt Payment of Claims Act, Tex.”
— Tex. Ins. Code § 541.060(a)(2) — 37 cases
Texas Mut. Ins. Co. v. Ruttiger, 265 S.W.3d 651 (Tex. App. 2008).
“Applying TMI’s rationale, a party would never be able to file suit against an insurer based upon a compensability dispute, no matter how unreasonable the dispute, as long as the insurer promptly provided benefits once it entered into the Benefit Dispute Agreement and agreed to…”
Messersmith v. Nationwide Mut. Fire Ins., 10 F. Supp. 3d 721 (N.D. Tex. 2014).
“Based on these events, Plaintiff alleges that Defendants violated a multitude of laws: Tex. Ins.Code § 541.060; the Prompt Payment of Claims Act, Tex.”
— Tex. Ins. Code § 541.060(a)(2)(A) — 52 cases
Onebeacon Ins. Co. v. T. Wade Welch & Assocs., 841 F.3d 669 (5th Cir. 2016).
“” Tex. Ins. Code § 541.060(a)(2)(A). To have acted “knowingly,” OneBeacon must have acted with actual awareness of the falsity, unfairness, or deceptiveness of the act that made it liable under Chapter 541.”
— Tex. Ins. Code § 541.060(a)(2)(B) — 1 case
— Tex. Ins. Code § 541.060(a)(2)(a) — 1 case
— Tex. Ins. Code § 541.060(a)(3) — 28 cases
Mid-Continent Cas. Co. v. Eland Energy, Inc., 795 F. Supp. 2d 493 (N.D. Tex. 2011).
“Mid-Continent maintains that the court should not have submitted a common law tort question to the jury because the only non -Stoivers liability of an insurer for handling a third-party claim is statutory liability under Tex. Ins. Code Ann. § 541.060 (a) (West 2003 & Supp.”
Escuadra v. Geovera Specialty Ins., 739 F. Supp. 2d 967 (E.D. Tex. 2010).
“Tex. Ins. Code Ann. § 541.060 (a)(4). 5. Refused to pay plaintiffs claim without conducting a reasonable investigation.”
— Tex. Ins. Code § 541.060(a)(4) — 14 cases
Mid-Continent Cas. Co. v. Eland Energy, Inc., 795 F. Supp. 2d 493 (N.D. Tex. 2011).
“Mid-Continent maintains that the court should not have submitted a common law tort question to the jury because the only non -Stoivers liability of an insurer for handling a third-party claim is statutory liability under Tex. Ins. Code Ann. § 541.060 (a) (West 2003 & Supp.”
— Tex. Ins. Code § 541.060(a)(4)(A) — 1 case
Mid-Continent Cas. Co. v. Eland Energy, Inc., 795 F. Supp. 2d 493 (N.D. Tex. 2011).
“Mid-Continent maintains that the court should not have submitted a common law tort question to the jury because the only non -Stoivers liability of an insurer for handling a third-party claim is statutory liability under Tex. Ins. Code Ann. § 541.060 (a) (West 2003 & Supp.”
— Tex. Ins. Code § 541.060(a)(4)(B) — 1 case
— Tex. Ins. Code § 541.060(a)(5) — 1 case
— Tex. Ins. Code § 541.060(a)(6) — 1 case
— Tex. Ins. Code § 541.060(a)(7) — 29 cases
Usaa Texas Lloyds Co. v. Gail Menchaca, 545 S.W.3d 479 (Tex. 2018).
“, TEX. INS. CODE § 541.060 (prohibiting an insurer from "requiring a claimant as a condition of settling a claim to produce the claimant's federal income tax returns").”
Messersmith v. Nationwide Mut. Fire Ins., 10 F. Supp. 3d 721 (N.D. Tex. 2014).
“Based on these events, Plaintiff alleges that Defendants violated a multitude of laws: Tex. Ins.Code § 541.060; the Prompt Payment of Claims Act, Tex.”
— Tex. Ins. Code § 541.060(a)(8) — 1 case
Mid-Continent Cas. Co. v. Eland Energy, Inc., 795 F. Supp. 2d 493 (N.D. Tex. 2011).
“Mid-Continent maintains that the court should not have submitted a common law tort question to the jury because the only non -Stoivers liability of an insurer for handling a third-party claim is statutory liability under Tex. Ins. Code Ann. § 541.060 (a) (West 2003 & Supp.”
— Tex. Ins. Code § 541.060(a)(l) — 2 cases
— Tex. Ins. Code § 541.060(b) — 4 cases
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