When Missouri insurers deny, delay, or lowball your claim, the law provides powerful remedies including attorney fees, penalties, and damages beyond your policy limits.
When you pay insurance premiums for years and your insurer refuses to honor the deal when you need it most, you have more than a complaint — you have a legal claim. Joseph Ott represents policyholders across Missouri against insurance companies that deny legitimate claims, drag out investigations, lowball settlements, and force injured people into unnecessary litigation. The insurance industry profits when policyholders give up. We make sure they do not.
What Is Insurance Bad Faith Under Missouri Law?
Every insurance policy in Missouri carries an implied duty of good faith and fair dealing. This means your insurer must investigate your claim promptly, evaluate it honestly, and pay what is owed without unreasonable delay or obstruction. When an insurance company breaches this duty — whether by ignoring evidence, misrepresenting policy language, or refusing to negotiate in good faith — the insurer faces liability that extends far beyond the original policy limits.
Missouri courts have long recognized that the relationship between insurer and policyholder is not an arms-length commercial transaction. You pay premiums in exchange for a promise of protection. When the insurer breaks that promise, the law provides remedies designed to hold them accountable and make you whole.
RSMo 375.420 — Vexatious Refusal to Pay
Missouri's most powerful statutory tool for policyholders is RSMo 375.420, the vexatious refusal to pay statute. When an insurer refuses to pay a claim without reasonable cause or justification, the court may award the policyholder the full amount owed under the policy plus attorney fees and a damages penalty. The penalty is calculated at twenty percent of the first fifteen hundred dollars and ten percent of the remainder of the claim.
This statute shifts the economics of insurance disputes. Without it, insurers can deny claims knowing that most policyholders cannot afford to hire an attorney and litigate for months or years. RSMo 375.420 ensures that when an insurer's refusal is found to be vexatious, the policyholder recovers not only what was owed but also the cost of forcing the insurer to pay. It is the primary weapon OTT Law uses to level the playing field between individual policyholders and billion-dollar insurance companies.
Three Types of Bad Faith Claims in Missouri
First-Party Bad Faith
First-party bad faith occurs when your own insurance company — the one you pay premiums to — refuses to honor a legitimate claim under your policy. This includes homeowners insurance denials after storm damage, health insurance claim denials for covered treatment, auto insurance companies refusing to pay under your own uninsured or underinsured motorist coverage, and disability insurers cutting off benefits despite ongoing medical documentation. In first-party cases, the insurer owes a direct duty to you as their policyholder, and breaching that duty exposes them to liability beyond the policy limits.
Third-Party Bad Faith
Third-party bad faith arises when a liability insurer fails to settle a claim against its insured within policy limits when it reasonably should have done so. If an insurer refuses a reasonable settlement demand and the case goes to trial resulting in a verdict that exceeds the policy limits, the insurer may be liable for the entire judgment — not just the policy amount. This type of bad faith is particularly significant in personal injury cases where the at-fault party's insurer gambles with their own policyholder's financial future by refusing to settle.
Statutory Vexatious Refusal
Under RSMo 375.420, a policyholder can bring a standalone statutory claim when an insurer's refusal to pay lacks reasonable justification. This claim does not require proving the insurer acted with malice or intent to harm — only that the refusal was vexatious, meaning it lacked a reasonable basis. Courts evaluate the totality of the circumstances, including the strength of the policyholder's claim, the adequacy of the insurer's investigation, and whether the insurer had a legitimate coverage defense.
Common Insurer Tactics
Insurance companies that act in bad faith typically rely on a predictable set of strategies designed to wear policyholders down and minimize payouts.
Delay. Dragging out claim investigations far beyond any reasonable timeline. Requesting redundant documentation. Assigning and reassigning adjusters. The goal is to exhaust you financially and emotionally until you accept less than you are owed or abandon the claim entirely.
Deny. Issuing boilerplate denial letters that cite policy exclusions the adjuster knows do not apply. Ignoring favorable medical evidence. Mischaracterizing the facts of the claim. Many denial letters are designed to look final and authoritative when they are neither.
Defend. Forcing policyholders into litigation on claims the insurer knows are valid. Some carriers calculate that the cost of litigation will deter all but the most determined claimants. They are betting you will not fight back.
Lowball. Offering a fraction of the claim's actual value — often within days of the loss — hoping that financial pressure will push you into accepting. Adjusters are trained to present lowball offers as generous and final. They rarely are.
What You Can Recover in a Bad Faith Case
When an insurer acts in bad faith, Missouri law provides remedies that go well beyond the original policy benefits:
Policy benefits owed — The full amount the insurer should have paid from the beginning
Attorney fees — Under RSMo 375.420, the insurer pays your legal costs when their refusal is found vexatious
Statutory penalty — Twenty percent of the first fifteen hundred dollars and ten percent of the remainder under RSMo 375.420
Consequential damages — Financial harm caused by the insurer's delay or denial, including lost income, credit damage, and additional medical expenses incurred while waiting for coverage
Punitive damages — In egregious cases where the insurer's conduct demonstrates willful disregard for the policyholder's rights, Missouri courts may award punitive damages to punish the insurer and deter future misconduct
When Insurance Companies Act in Bad Faith
Insurance companies owe their policyholders a duty to investigate, pay, and settle claims in good faith — but too often they lowball, delay, or deny legitimate claims outright. This video explains what insurance bad faith looks like in Missouri, why it happens, and what you can do about it.
Key Takeaways
Missouri insurers owe policyholders a duty of good faith and fair dealing on every claim.
Common bad faith tactics include lowball offers, unreasonable delay, selective denial, and ignoring medical evidence.
RSMo 375.420 allows recovery of attorney fees and penalties when an insurer vexatiously refuses to pay.
Documentation and a written demand are the strongest tools before litigation.
Read full transcript›
Insurance companies are supposed to be there when you need them. You pay premiums for years, and the understanding — the whole point of insurance — is that if something bad happens, the carrier steps up and makes you whole. That's not charity. That's the bargain.
The law calls it a duty of good faith and fair dealing. Every insurance company in Missouri owes it to every person they insure. It means they have to investigate claims honestly, evaluate them fairly, and pay what's owed without dragging their feet or inventing reasons to deny.
But here's what I see every week in this practice: insurers who lowball injured people hoping they'll take pennies on the dollar because they're scared or in pain. Claims dragged out for months past any reasonable timeline. Legitimate medical bills questioned as "unrelated." Denial letters that cite policy language the adjuster knows doesn't actually apply. It's not an accident. For some carriers, delay and denial are the business model.
If that's happening to you, I know the reflex is to get angry. Don't. Anger doesn't move insurance companies. Evidence does, written demands do, and the real possibility of a bad-faith lawsuit does. When an insurer crosses the line, Missouri law lets us pursue damages beyond the policy limits — sometimes substantially beyond — because the carrier's conduct itself becomes the wrong.
So before you sign anything, before you give a recorded statement, before you accept "this is our final offer" — call Ott Law. We'll tell you straight whether the insurer's position is reasonable or whether they're betting you won't push back. If they're wrong about you, we'll make sure they find out.
Frequently Asked Questions
What is insurance bad faith in Missouri?›
Insurance bad faith is when an insurance company fails to honor its duty of good faith and fair dealing — for example, by refusing to pay a legitimate claim, delaying without justification, making unreasonably low settlement offers, or failing to properly investigate. Missouri recognizes both statutory and common-law causes of action depending on the type of claim and the type of policy involved.
Can I sue my insurance company for denying my claim?›
Yes — if the denial was unreasonable or the insurer breached its duty of good faith, you may have a claim for breach of contract and for bad faith. A successful bad faith case can recover amounts beyond the policy limits, including consequential damages and, in some circumstances, punitive damages. The first step is having an attorney review the denial letter, the policy, and the claim file.
What does RSMo 375.420 do for policyholders?›
RSMo 375.420 is Missouri's vexatious refusal to pay statute. When an insurer refuses to pay a claim without reasonable cause, the court can award the policyholder the full amount owed plus attorney fees and a damages penalty of up to twenty percent of the first fifteen hundred dollars and ten percent of the remainder. It is the primary statutory tool for holding Missouri insurers accountable.
How long do I have to file an insurance bad faith claim in Missouri?›
The statute of limitations depends on the specific claim. Breach of contract claims generally have a five-year limitations period. Vexatious refusal claims under RSMo 375.420 follow the same timeline as the underlying policy dispute. Because deadlines vary, consult an attorney as soon as you suspect bad faith to preserve your rights.
Talk to a Litigator About Your Case
Every case turns on the details. Schedule a free, confidential consultation with attorney Joseph Ott and get straight answers about where you stand.
OTT Law has secured policy-limits settlements for clients using aggressive bad faith strategies, including demand letters under Mo. Rev. Stat. 537.065 that put insurers on notice of their excess exposure. When insurers know you have counsel who understands the full range of remedies available under Missouri law, their calculus changes.
Free Consultation — No Fee Unless We Win
If your insurance company has denied your claim, delayed payment without justification, or offered far less than your claim is worth, contact OTT Law for a free consultation. We handle insurance bad faith cases on a contingency fee basis — you pay nothing unless we recover compensation for you. You will have direct access to attorney Joseph Ott from your first call through resolution of your case.
Call (314) 710-2740 or contact us online to discuss your insurance dispute. We represent policyholders throughout Missouri against insurers of all sizes, and we are prepared to take your case to trial if that is what it takes to get you the result you deserve.
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