{"id":1221,"date":"2021-10-25T03:50:34","date_gmt":"2021-10-25T03:50:34","guid":{"rendered":"https:\/\/crowdsourcelawyers.com\/judicial-council-california-civil-jury-instructions-caci\/?page_id=1221"},"modified":"2022-05-05T16:39:32","modified_gmt":"2022-05-05T16:39:32","slug":"caci-2337-factors-to-consider-in-evaluating-insurers-conduct","status":"publish","type":"page","link":"https:\/\/crowdsourcelawyers.com\/judicial-council-california-civil-jury-instructions-caci\/caci-2337-factors-to-consider-in-evaluating-insurers-conduct\/","title":{"rendered":"CACI 2337 Factors to Consider in Evaluating Insurer\u2019s Conduct"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kum8fn4q-c5b0927fbd2d6e371e7288f362275882\">\n#top .av-special-heading.av-kum8fn4q-c5b0927fbd2d6e371e7288f362275882{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-kum8fn4q-c5b0927fbd2d6e371e7288f362275882 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kum8fn4q-c5b0927fbd2d6e371e7288f362275882 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kum8fn4q-c5b0927fbd2d6e371e7288f362275882 av-special-heading-h1 blockquote modern-quote  avia-builder-el-0  el_before_av_hr  avia-builder-el-first '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >CACI 2337 Factors to Consider in Evaluating Insurer\u2019s Conduct<\/h1><div class='av-subheading av-subheading_below'><p>California Civil Jury Instructions CACI<\/p>\n<\/div><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<div  class='hr av-av_hr-91d7ccd583a503147498e120fee2ff9b hr-default  avia-builder-el-1  el_after_av_heading  el_before_avia_sc_search '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" 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action='https:\/\/crowdsourcelawyers.com\/judicial-council-california-civil-jury-instructions-caci\/' id='searchform_element' method='get' class='' data-element_id='av-avia_sc_search-f7f83518637509acfac1c9900b84c1e7' ><div class='av_searchform_wrapper'><input type='search' value='' id='s' name='s' placeholder='Search CACI' aria-label='Search CACI' class='av-input-field ' required \/><div class='av_searchsubmit_wrapper '><input type='submit' value='Find' id='searchsubmit' class='button ' title='View results on search page' aria-label='View results on search page' \/><\/div><input type='hidden' name='numberposts' value='8' \/><input type='hidden' name='post_type' value='page' \/><input type='hidden' name='results_hide_fields' value='post_titles,meta,image' \/><\/div><\/form><\/search><\/div>\n<section  class='av_textblock_section av-av_textblock-e878f05c31dff72941bf1e49a00d9ff5 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><ul>\n<li><a href=\"https:\/\/crowdsourcelawyers.com\/judicial-council-california-civil-jury-instructions-caci\/\">CACI Jury Instructions Index<\/a><\/li>\n<li><a href=\"https:\/\/caci-fillable-forms.crowdsourcelawyers.com\/\">App: CACI Jury Instructions Fillable Forms Word Format<\/a><\/li>\n<\/ul>\n<\/div><\/section>\n<div  class='hr av-av_hr-91d7ccd583a503147498e120fee2ff9b hr-default  avia-builder-el-4  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kum8hblk-df1759bc6b8d535ee840545ad7ecb917\">\n#top .av_textblock_section.av-kum8hblk-df1759bc6b8d535ee840545ad7ecb917 .avia_textblock{\nfont-size:20px;\n}\n<\/style>\n<section  class='av_textblock_section av-kum8hblk-df1759bc6b8d535ee840545ad7ecb917 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2 class=\"SS_Banner\">2337\u00a0Factors to Consider in Evaluating Insurer\u2019s Conduct<\/h2>\n<hr \/>\n<p><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">In determining whether [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of defendant<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] acted unreasonably, that is, without proper cause, you may consider whether the defendant did any of the following:<\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2009<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(a) Misrepresented to [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] relevant facts or insurance policy provisions relating to any coverage at issue.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2009<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(b) Failed to acknowledge and act reasonably promptly after receiving communications about [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">]\u2019s claim arising under the insurance policy.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2003<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(c) Failed to adopt and implement reasonable standards for the prompt investigation and processing of claims arising under its insurance policies.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2003<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(d) Failed to accept or deny coverage of claims within a reasonable time after [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] completed and submitted proof-of-loss requirements.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2003<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(e) Did not attempt in good faith to reach a prompt, fair, and equitable settlement of [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">]\u2019s claim after liability had become reasonably clear.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2003<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(f) Required [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] to file a lawsuit to recover amounts due under the policy by offering substantially less than the amount that [he\/she\/<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">nonbinary pronoun<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">\/it] ultimately recovered in the lawsuit, even though [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] had made a claim for an amount reasonably close to the amount ultimately recovered.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2003<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(g) Attempted to settle [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">]\u2019s claim for less than the amount to which a reasonable person would have believed [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] was entitled by referring to written or printed advertising material accompanying or made part of the application.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2003<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(h) Attempted to settle the claim on the basis of an application that was altered without notice to, or knowledge or consent of, [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">], [his\/her\/<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">nonbinary pronoun<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">\/its] representative, agent, or broker.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2003<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(i) Failed, after payment of a claim, to inform [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] at [his\/her\/<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">nonbinary pronoun<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">\/its] request, of the coverage under which payment was made.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2003<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(j) Informed [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] of its practice of appealing from arbitration awards in favor of insureds or claimants for the purpose of forcing them to accept settlements or compromises less than the amount awarded in arbitration.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2003<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(k) Delayed the investigation or payment of the claim by requiring [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">], [or [his\/her\/<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">nonbinary pronoun<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] physician], to submit a preliminary claim report, and then also required the submission of formal proof-of-loss forms, both of which contained substantially the same information.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2003<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">l<\/span>) Failed to settle a claim against [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] promptly once [his\/her\/<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">nonbinary pronoun<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">\/its] liability had become apparent, under one portion of the insurance policy coverage in order to influence settlements under other portions of the insurance policy coverage.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2003<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(m) Failed to promptly provide a reasonable explanation of its reasons for denying the claim or offering a compromise settlement, based on the provisions of the insurance policy in relation to the facts or applicable law.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2003<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(n) Directly advised [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] not to hire an attorney.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2003<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(o) Misled [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] as to the applicable statute of limitations, that is, the date by which an action against [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of defendant<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] on the claim had to be filed.]<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2003<\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[(p) Delayed the payment or provision of hospital, medical, or surgical benefits for services provided with respect to acquired immune deficiency syndrome (AIDS) or AIDS-related complex for more than 60 days after it had received [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">]\u2019s claim for those benefits, doing so in order to investigate whether [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of plaintiff<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] had the condition before obtaining the insurance coverage. However, the 60-day period does not include any time during which [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of defendant<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] was waiting for a response for relevant medical information from a healthcare provider.]<\/span><\/span><\/p>\n<p><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">The presence or absence of any of these factors alone is not enough to determine whether [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of defendant<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">]\u2019s conduct was or was not unreasonable, that is, without proper cause. You must consider [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of defendant<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">]\u2019s conduct as a whole in making this determination. <br class=\"avia-permanent-lb\" \/><br class=\"avia-permanent-lb\" \/><\/span><\/p>\n<hr \/>\n<div class=\"SS_Note\">\n<h2 class=\"SS_HideShowSection SS_Expandable\"><\/h2>\n<div id=\"TRNotes_n_1\">\n<p><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">New April 2008; Revised December 2015, May 2020 <br class=\"avia-permanent-lb\" \/><br class=\"avia-permanent-lb\" \/><\/span><\/p>\n<hr \/>\n<p><a href=\"https:\/\/crowdsourcelawyers.com\/\">Crowdsource Lawyers<\/a><\/p>\n<p><a href=\"https:\/\/crowdsourcelawyers.com\/judicial-council-california-civil-jury-instructions-caci\">https:\/\/crowdsourcelawyers.com\/judicial-council-california-civil-jury-instructions-caci<\/a><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\"><br class=\"avia-permanent-lb\" \/><\/span><\/p>\n<hr \/>\n<\/div>\n<\/div>\n<div class=\"SS_Note\">\n<h2 class=\"SS_HideShowSection SS_Expandable\">Directions for Use<\/h2>\n<div id=\"TRNotes_n_2\">\n<p>Although there is no private cause of action under\u00a0Insurance Code section 790.03(h)\u00a0(see\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">Moradi-Shalal v. Fireman\u2019s Fund Ins. Companies<\/span>\u00a0(1988) 46 Cal.3d 287, 304\u2013305 [250 Cal.Rptr. 116, 758 P.2d 58]), this instruction may be given in an insurance bad-faith action to assist the jury in determining whether the insurer\u2019s conduct was unreasonable or without proper cause. (See\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">Jordan v. Allstate Ins. Co.<\/span>\u00a0(2007) 148 Cal.App.4th 1062, 1078 [56 Cal.Rptr.3d 312], internal citations omitted.)<\/p>\n<p>Include only the factors that are relevant to the case. <br class=\"avia-permanent-lb\" \/><br class=\"avia-permanent-lb\" \/><\/p>\n<hr \/>\n<\/div>\n<\/div>\n<div class=\"SS_Note\">\n<h2 class=\"SS_HideShowSection SS_Expandable\">Sources and Authority<\/h2>\n<div id=\"TRNotes_n_3\">\n<p><span class=\"SS_ListLabel\">\u2022<\/span><span class=\"SS_ListItemContent\">Bad-Faith Insurance Practices.\u00a0Insurance Code section 790.03.<\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2022<\/span><span class=\"SS_ListItemContent\">\u201c[Plaintiff] was not seeking to recover on a claim based on a violation of\u00a0Insurance Code section 790.03, subdivision (h). Rather, her claim was based on a claim of common law bad faith arising from [defendant]\u2019s breach of the implied covenant of good faith and fair dealing which she is entitled to pursue. [Plaintiff]\u2019s reliance upon the [expert\u2019s] declaration was for the purpose of providing evidence supporting her contention that [defendant] had breached the implied covenant by its actions. This is a\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">proper<\/span>\u00a0use of evidence of an insurer\u2019s violations of the statute and the corresponding regulations.\u201d (<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">Jordan, supra,<\/span>\u00a0148 Cal.App.4th at p. 1078, original italics, internal citations omitted.) <br class=\"avia-permanent-lb\" \/><br class=\"avia-permanent-lb\" \/><\/span><\/p>\n<hr \/>\n<\/div>\n<\/div>\n<h2 class=\"SS_Heading\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\"><span class=\"SS_ib\" data-housestyle=\"EMPHASIS_ib\">Secondary Sources<\/span><\/span><\/h2>\n<div>2 Witkin, Summary of California Law (11th ed. 2017)\u00a0Insurance \u00a7\u00a7\u2009360,\u00a0361, 365, 461<\/div>\n<div>Croskey et al., California Practice Guide: Insurance Litigation, Ch. 14-A,\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">Statutory and Administrative Regulation<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">\u2014The California Regulator<\/span>, \u00b6\u200914:109 et seq. (The Rutter Group)<\/div>\n<div>1 California Liability Insurance Practice: Claims and Litigation, Ch. 24,\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">General Principles of Contract and Bad Faith<\/span>\u00a0(Cont.Ed.Bar) \u00a7\u200924.30 et seq.<\/div>\n<div>26\u00a0California Forms of Pleading and Practice, Ch. 308,\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">Insurance<\/span>, \u00a7\u2009308.25\u00a0(Matthew Bender)<\/div>\n<div>1 Rushing et al.,\u00a0Matthew Bender Practice Guide: California Unfair Competition and Business Torts, Ch. 2,\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">Unfair Competition<\/span>, 2.11\u00a0(Matthew Bender)<\/div>\n<div class=\"SS_Note\">\n<div id=\"TRNotes_n_3\"><\/div>\n<\/div>\n<\/div><\/section>\n<div  class='hr av-6vtx7p-01ea5dc0449e65c5e6d4a4bbfa4c0917 hr-default  avia-builder-el-6  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-5531rp-ac0962671e2817ec1acf10b8673ccce6\">\n#top .av_textblock_section.av-5531rp-ac0962671e2817ec1acf10b8673ccce6 .avia_textblock{\nfont-size:22px;\n}\n<\/style>\n<section  class='av_textblock_section av-5531rp-ac0962671e2817ec1acf10b8673ccce6 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><a href=\"https:\/\/crowdsourcelawyers.com\/\">CrowdSourceLawyers.com<\/a><\/p>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1221","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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