What is an insurance coverage dispute?

An insurance coverage dispute is a disagreement between an insurer and a policyholder over what the insurer will pay for under an insurance policy. In most cases, a dispute arises when a policyholder makes a claim and the insurer denies coverage or pays a lesser amount than what the policyholder believes is owed. Insurance coverage disputes can be very complex and involve not only the specific terms of the policy, but also legal principles such as tort and contract law. In Oregon, insurance coverage disputes are governed by the Oregon Insurance Code, which governs the formation, interpretation, and enforceability of insurance contracts. Generally, Oregon law permits policyholders to bring a legal action against their insurer for its denial of coverage or for making a payment that is lower than what it should have paid. Insurance coverage disputes can also involve other legal claims, such as breach of contract and bad faith claims. When an insurer has acted in an unfair or unreasonable manner in denying coverage or delaying payment, the policyholder may be able to bring a separate claim for breach of contract or bad faith. If the insurer is found liable for either of these types of claims, the policyholder may be able to recover damages beyond what the insurance policy would have provided. When an insurance dispute arises, it is important to seek legal advice to ensure that the policyholders’ rights are protected. In Oregon, policyholders may want to consult with an attorney familiar with insurance litigation law and the Oregon Insurance Code to understand their legal options.

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