How to Fight Insurance Bad Faith Denials Using the Stowers Doctrine

 

Introduction

  • Briefly define "Insurance Bad Faith" and why it matters for small service providers.

  • Explain the Stowers Doctrine (in simple terms):

    • Texas law principle holding insurers liable for failing to settle claims reasonably within policy limits.

  • State the goal: to help overwhelmed businesses fight unfair claim denials without expensive legal help.

  • Promise: "Includes ready-to-use templates and timeline guidance."

Step 1: Assess Your Denial for "Bad Faith" Indicators

✔️ Review your denial letter for these red flags:

  • Vague or incomplete explanations.

  • Unreasonable delay in response.

  • Ignored settlement offers.

  • Denial despite clear liability evidence.

✔️ Check if:

  • You or your client made a valid, timely claim.

  • The insurer refused a reasonable settlement demand within policy limits.

  • There’s financial harm resulting from the insurer's failure.

🔍 Tip Box: “If you’re unsure—call or email the adjuster for a denial clarification in writing.”

Step 2: Send a Notice Letter (Stowers Demand Template)

✔️ Prepare a Stowers Demand Letter including:

  • Policy details.

  • Clear settlement demand within limits.

  • Deadline for insurer to respond (typically 10-14 days).

  • Reference to the Stowers Doctrine and potential exposure.

✔️ Provide a Template
(Include a copy-paste ready “Stowers Demand Letter” template right here for readers.)

Step 3: Track Legal Timelines

✔️ Critical Deadlines (Texas example):

  • Stowers demand response window: 10-14 days (varies by case).

  • State statute of limitations for bad faith action: usually 2 years from denial (check local laws).

✔️ Maintain a compliance calendar:

  • Record when you sent the letter.

  • Track insurer response dates.

📅 Downloadable Timeline Checklist PDF (Optional Lead Magnet)

Step 4: Escalate or Pursue Legal Action (if needed)

✔️ Options if insurer ignores or refuses reasonable demand:

  • File a Texas Insurance Code § 541.060 claim (Unfair Settlement Practices).

  • Seek legal help (if damages exceed small claims limits).

✔️ Explain when to:

  • Send a Texas Department of Insurance (TDI) complaint.

  • Consider litigation (with legal aid or pro bono support).

🔶 Bonus: What is NOT Covered by Stowers Doctrine?

  • Clarify: Stowers applies to liability claims against insured parties—not to all coverage disputes (like property or health denials).

  • Examples of when Stowers doesn’t apply to prevent misuse.

1. First-Party Claims

  • Stowers only applies to third-party liability claims, not first-party insurance disputes.

  • Doesn’t apply if:

    • You file a claim on your own property, health, or auto policy.

    • Example: A homeowner filing a claim with their own insurer for roof damage.

  • ✔️ Use other remedies like Texas Insurance Code Chapter 541 (Unfair Settlement Practices) instead.


2. No Settlement Demand Was Made

  • The Stowers Doctrine is triggered only if a valid, time-limited settlement demand was presented.

  • Doesn’t apply if:

    • The injured party never made a formal settlement offer within policy limits.

  • ✔️ The insured (or their legal counsel) must have submitted this demand to activate Stowers duties.


3. Demand Exceeds Policy Limits

  • Stowers only protects the insured when a settlement demand is within policy limits.

  • Doesn’t apply if:

    • The plaintiff’s demand exceeds what the insurer is contractually required to pay.

  • ✔️ If a $100,000 policy is in place, but the demand is $200,000—Stowers does not apply.


4. Claims Outside of Covered Policy Risks

  • Stowers only applies to claims actually covered under the insurance policy.

  • Doesn’t apply if:

    • The type of claim is not covered (e.g., intentional acts, excluded risks).

  • ✔️ Example: Insurer denies coverage for a criminal act excluded by the policy — no Stowers duty.


5. No Clear Liability or Coverage Dispute Exists

  • Stowers requires clear liability on the insured’s part for triggering obligations.

  • Doesn’t apply if:

    • Liability is disputed, unclear, or defensible.

  • ✔️ If reasonable doubt exists about who is at fault, the insurer has more leeway to deny settlement.


6. Settlement Offer Did Not Include Proper Terms

  • The demand must meet all Stowers demand requirements:

    • Reasonable offer

    • Within policy limits

    • Clear liability proof

    • Demand for full release of the insured

  • Doesn’t apply if:

    • Demand letter was vague, missed critical legal elements, or failed to offer a full release.

  • ✔️ Poorly written demand letters can invalidate Stowers applicability.


🔶 Summary Chart: When Stowers Doesn't Apply

SituationWhy Stowers Does Not Apply
First-party coverage disputesStowers only covers third-party liability claims
No formal time-limited settlement demand madeDemand letter triggers Stowers duties
Demand exceeds insurance policy limitsInsurer can’t be forced to settle beyond coverage
Claim not covered under policyStowers applies only to covered risks
Liability not reasonably clearDisputed liability allows insurer discretion
Defective or incomplete settlement demand letterMust meet strict Stowers demand standards

🔶 Conclusion: Empowerment, Not Intimidation

  • Recap: You have rights. Insurers must act fairly.

  • Reassure: You can start with these templates, build evidence, and escalate when needed.

✔️ Offered Download:
"Stowers Demand Letter Kit" (PDF with templates + checklist)

https://docs.google.com/document/d/1mzyDoGRYNPDftZZkY2sUX15ZNj1p_VCkb1EvRNWqmXw/edit?usp=drive_link


✅ Invite for 1-on-1 compliance review session (paid service).

https://resolutionpower.co/book-a-call

🔶 Other Sections:

  • FAQ (e.g. "What if the insurer ignores me?" / "Do I need a lawyer to send this letter?")

https://docs.google.com/document/d/19Wyw6DRqSCIvQQxyODahZKRASrcLlEfSwW_yjs0QZh8/edit?usp=drive_link
  • Success Story (short client example—anonymous)

https://resolutionpowerco.blogspot.com/2025/06/success-story-turning-systemic.html
  • Call to Action:
    "Need help drafting your own demand letter? Book a session with us."

https://resolutionpower.co/book-a-call

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