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Understanding Public Health Law Bad Faith Claims in New York: Your Right to Sue Insurance Companies
No-Fault

Understanding Public Health Law Bad Faith Claims in New York: Your Right to Sue Insurance Companies

By Jason Tenenbaum 8 min read

Key Takeaway

Learn about Public Health Law bad faith insurance claims in New York. Expert legal guidance. Call 516-750-0595 for consultation.

When insurance companies fail to handle claims properly under New York’s Public Health Law, injured parties may have additional recourse beyond traditional coverage disputes. Understanding your rights under PHL bad faith provisions can provide crucial leverage in securing fair treatment from insurance carriers and obtaining proper compensation for your injuries.

What is Public Health Law Bad Faith?

Public Health Law bad faith occurs when insurance companies fail to meet their obligations under New York’s comprehensive insurance regulatory framework. Unlike general bad faith claims, PHL bad faith specifically addresses insurance practices that violate statutory requirements designed to protect consumers and ensure fair claims handling.

Key Elements of PHL Bad Faith Claims

Successful PHL bad faith claims typically require demonstrating:

  • Statutory Violation: The insurance company violated specific Public Health Law requirements
  • Unreasonable Conduct: The insurer’s actions fell below acceptable industry standards
  • Damages: The violation resulted in actual harm beyond the underlying claim
  • Causal Connection: The insurer’s conduct directly caused the additional damages

Common PHL Bad Faith Scenarios

PHL bad faith claims frequently arise in several contexts:

Delayed Claims Processing

When insurers unreasonably delay processing legitimate claims, causing additional harm to claimants who need immediate medical care or financial support.

Inadequate Investigation

Failure to conduct thorough, fair investigations of claims, leading to wrongful denials or inadequate settlements.

Misrepresentation of Coverage

Providing false or misleading information about policy coverage, benefits, or claim procedures.

Failure to Communicate

Not maintaining proper communication with claimants regarding claim status, requirements, or decisions.

Damages Available in PHL Bad Faith Cases

Successful PHL bad faith claims can result in various forms of compensation:

  • Consequential Damages: Additional costs incurred due to improper claims handling
  • Emotional Distress: Compensation for psychological harm caused by insurer misconduct
  • Attorney Fees: Recovery of legal costs in pursuing the bad faith claim
  • Punitive Damages: Additional compensation designed to punish and deter improper conduct

Strategic Considerations

PHL bad faith claims require careful strategic planning and thorough documentation of insurer misconduct. These cases often involve complex legal and factual issues that require experienced representation.

Frequently Asked Questions

How long do I have to file a PHL bad faith claim?

The statute of limitations for PHL bad faith claims depends on specific circumstances, but generally must be filed within six years of the conduct giving rise to the claim.

Can I sue for bad faith if my original claim was denied?

Yes, you may be able to pursue bad faith claims even if your underlying insurance claim was denied, provided the denial was handled improperly under PHL requirements.

What evidence do I need for a PHL bad faith claim?

Evidence typically includes all communications with the insurer, claim files, documentation of delays, and records showing how the insurer’s conduct caused additional harm.

Are PHL bad faith claims worth pursuing?

The value depends on specific circumstances, but successful claims can result in significant additional compensation beyond the original claim value.

PHL bad faith claims involve complex legal standards and require thorough understanding of both insurance law and Public Health Law requirements. Insurance companies have sophisticated legal teams defending these claims, making experienced representation essential for success.

If you believe an insurance company has handled your claim in bad faith under New York’s Public Health Law, don’t let their misconduct go unchallenged. These cases can provide important additional compensation and help ensure fair treatment. Call 516-750-0595 for a free consultation with our experienced insurance bad faith team.

This article is for educational purposes only and does not constitute legal advice. PHL bad faith claims involve complex legal issues that require professional evaluation. Consult with a qualified attorney for advice regarding your specific situation.

Common Questions

Frequently Asked Questions

What is New York's no-fault insurance system?

New York's no-fault insurance system requires all drivers to carry Personal Injury Protection (PIP) coverage. This pays for medical expenses and lost wages regardless of who caused the accident, up to policy limits. However, you can only sue for additional damages if you meet the 'serious injury' threshold.

Filed under: No-Fault
Jason Tenenbaum, Personal Injury Attorney serving Long Island, Nassau County and Suffolk County

About the Author

Jason Tenenbaum

Jason Tenenbaum is a personal injury attorney serving Long Island, Nassau & Suffolk Counties, and New York City. Admitted to practice in NY, NJ, FL, TX, GA, MI, and Federal courts, Jason is one of the few attorneys who writes his own appeals and tries his own cases. Since 2002, he has authored over 2,353 articles on no-fault insurance law, personal injury, and employment law — a resource other attorneys rely on to stay current on New York appellate decisions.

Education
Syracuse University College of Law
Experience
24+ Years
Articles
2,353+ Published
Licensed In
7 States + Federal

Discussion

Comments (3)

Archived from the original blog discussion.

D
DMG
It is scheduled to be argued on October 16, 2019. http://www.nycourts.gov/ctapps/calendar/2019/Daily/CAL101619.pdf
NM
Not My department
The First Department case doesn’t seem that great. As the Second Circuit noted “The First Department, with no further analysis, remarked that N.Y. Pub. Health [918 F.3d 235] Law § 230(11)(b) also created a private right of action “[f]or similar reasons,” noting that Section 230(11)(b) “immunizes from suit insurers and others who make good faith reports to” the OPMC.” That no further analysis part is questionable. More to the point, the purpose rule of statutory construction further results in a finding that, since the statute’s purpose was to further reporting, reading the creation of an inverse cause of action into it (which is the issue here), is antithetical. Given the statutory language, I’d argue that it absolutely does not create any private right to sue for alleged bad faith. Any such right would have to derive from common law, with the additional loophole that provenance of good faith is an absolute bar to recovery.
KL
Kurt Lundgren
I don’t see the private right of action either. It isn’t even implied in statute. Haar should have tried GBL 349 and conbined it with the public health law to get a valid cause of action. There is precedent for that. .

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