Upon receipt of a claim, the insurance carrier can: (1) accept the claim and provide coverage; (2) reserve coverage rights; or (3) deny coverage. When the policyholder receives a reservation of rights letter or denial of coverage letter from the insurance company, it should not file the letter away. Instead, the policyholder should respond to the reservation of rights letter or denial of coverage letter and make a record that it objects to the denial or reservation of rights and assert that it continues to preserve all rights to coverage for the claim. Many times the insurance company’s analysis is flawed and it is up to the policyholder to try and persuade the insurance carrier to reconsider its coverage position.
There are a number of coverage issues surrounding notice letters and the insurance company’s response to same. It is important for companies to pay serious attention to the noticing process. SandRun Risk can help companies with that process and ensure that they get the coverage that they paid for.