Dunlap v. State Farm Fire & Casualty Company
Facts
Anne Dunlap suffered severe, permanent injuries as a passenger in a car that collided with a DART bus. The Dunlaps had $1 million in UIM coverage with State Farm; Cardillo's insurer paid its policy limits, and DART offered to settle for $175,000 even though it contested liability. Concerned that settling for less than DART's $300,000 limits might jeopardize UIM benefits, the Dunlaps asked State Farm to agree that such a settlement would not prejudice their UIM claim, but State Farm refused based on the exhaustion requirement. The Dunlaps then tried the case against DART, lost as to DART, and afterward State Farm paid the $1 million UIM limits.
Issue
Whether the Dunlaps stated a claim against State Farm when State Farm refused to waive the statutory and contractual exhaustion requirement for UIM coverage. More specifically, the question was whether the implied covenant of good faith and fair dealing in an automobile insurance policy can support a claim other than a classic bad-faith denial or delay in payment.
Rule
A bad-faith refusal-to-pay insurance claim under Delaware law requires an unjustified failure to investigate, process, or pay a claim, and the denial of benefits must be clearly without any reasonable justification. But the implied covenant of good faith and fair dealing in insurance contracts is broader than that cause of action: it requires the insurer to refrain from arbitrary or unreasonable conduct that deprives the insured of the fruits of the bargain and may prevent an insurer from relying on an exhaustion provision absent a realistic risk of prejudice.
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