What is the test for a plaintiff to sue an insurer for failure to provide proper cause for a loss under a policy of good faith and fair dealing?

California, United States of America


The following excerpt is from Martinez v. Mercury Ins. Co., B261003 (Cal. App. 2016):

In "first party cases" involving an insured's claim against an insurer, the implied covenant of good faith and fair dealing "obligates the insurer to make a thorough investigation of the insured's claim for benefits, and not to unreasonably delay or withhold payment of benefits." (Major v. Western Home Ins. Co., supra, 169 Cal.App.4th at pp. 1209-1210.) If the insurer "without proper cause" refuses to compensate the insured for a loss covered by the policy or unreasonably delays payments

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due under the policy, its conduct is actionable. (Waters v. United Services Auto. Assn. (1996) 41 Cal.App.4th 1063, 1070.)

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