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Insurance Bait and Switch settlement amount?

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eeglas

Junior Member
Hello. I am in Washington State. I am settling the injury portion of an accident claim, which was not enough to involve an attorney (the attorneys said so), but enough I want damages to compensate me. The accident totaled my car, and the other party was 100 percent at fault through police report, citation and that the driver admitted as much. His insurance company has not challenged that determination.

Now I am at the final stretch settling the injury part. My insurance company has been reimbursed 100 percent by the at-fault insurance company for medical bills my insurance company paid on my behalf, and there are no outstanding bills.

The medical bills totaled $2500. I asked for damages of $9,500 total to include the $2500 medical bills amount already reimbursed, with a demand of $7000 remaining as compensation for inconvenience, etc. (knowing the negotiations would reduce this amount). This was clearly spelled out in my correspondence (all was in writing, no verbal discussions), that $9500 was my total demand including the already reimbursed medical expenses and that $7000 would be net of that to me.

We went back and forth and they agreed to $5250 to me, in writing. My agreement to this was also based on this amount being payable to me with no encumbrances. I also sent them a recap email stating that the total award to release their insured would be $7750, of which $2500 was already reimbursed to my insurance company and that they owed me the remaining $5250 as agreed to damages.

So, when they sent the release form, they snuck in a paragraph saying that the $5250 would be the total settlement to include the $2500 already paid to my insurance company as medical expense reimbursement and the check to me would be for the remainder -- $2750, instead of the $5250 I had agreed to. They also said they will not discuss "your new demand of $7750".

I re-sent the original demand letter to them, saying they were misrepresenting and miscalculating the damages, and that my communications have clearly delineated that the $2500 for medical reimbursement had already been included in my demand amount .

They raised their offer by $200 as "their final" and said that is the best they can do. Is it really? I feel like this is a bait and switch -- they agreed to one amount net, and then moved the goal posts. I have pointed out that their insured is clearly at fault, and by his own admission, that a day in court would be more costly all around and their insured would not be too happy about that either, and that I have also talked with the State insurance commissioner.

What else can I do? Can I accuse them of bait and switch? Recourse? Unfortunately, and somewhat due to Covid delays, etc, I am at the final stretch of the statute of limitations on this claim in order to file a lawsuit, and it would be small claims court, which is almost impossible to get any answers from due to the courts not being in session reliably or staffed.

Thank you.
 


quincy

Senior Member
Hello. I am in Washington State. I am settling the injury portion of an accident claim, which was not enough to involve an attorney (the attorneys said so), but enough I want damages to compensate me. The accident totaled my car, and the other party was 100 percent at fault through police report, citation and that the driver admitted as much. His insurance company has not challenged that determination.

Now I am at the final stretch settling the injury part. My insurance company has been reimbursed 100 percent by the at-fault insurance company for medical bills my insurance company paid on my behalf, and there are no outstanding bills.

The medical bills totaled $2500. I asked for damages of $9,500 total to include the $2500 medical bills amount already reimbursed, with a demand of $7000 remaining as compensation for inconvenience, etc. (knowing the negotiations would reduce this amount). This was clearly spelled out in my correspondence (all was in writing, no verbal discussions), that $9500 was my total demand including the already reimbursed medical expenses and that $7000 would be net of that to me.

We went back and forth and they agreed to $5250 to me, in writing. My agreement to this was also based on this amount being payable to me with no encumbrances. I also sent them a recap email stating that the total award to release their insured would be $7750, of which $2500 was already reimbursed to my insurance company and that they owed me the remaining $5250 as agreed to damages.

So, when they sent the release form, they snuck in a paragraph saying that the $5250 would be the total settlement to include the $2500 already paid to my insurance company as medical expense reimbursement and the check to me would be for the remainder -- $2750, instead of the $5250 I had agreed to. They also said they will not discuss "your new demand of $7750".

I re-sent the original demand letter to them, saying they were misrepresenting and miscalculating the damages, and that my communications have clearly delineated that the $2500 for medical reimbursement had already been included in my demand amount .

They raised their offer by $200 as "their final" and said that is the best they can do. Is it really? I feel like this is a bait and switch -- they agreed to one amount net, and then moved the goal posts. I have pointed out that their insured is clearly at fault, and by his own admission, that a day in court would be more costly all around and their insured would not be too happy about that either, and that I have also talked with the State insurance commissioner.

What else can I do? Can I accuse them of bait and switch? Recourse? Unfortunately, and somewhat due to Covid delays, etc, I am at the final stretch of the statute of limitations on this claim in order to file a lawsuit, and it would be small claims court, which is almost impossible to get any answers from due to the courts not being in session reliably or staffed.

Thank you.
It’s not “bait and switch.” It’s negotiation. And it appears that the insurance company is done negotiating with you.
 

adjusterjack

Senior Member
they agreed to $5250 to me, in writing.

I would love to comment but I can't. Not without seeing that "writing" of which you speak. You can't upload documents on this site so you'll have to quote, word for word (don't paraphrase), whatever "writing" that addresses the settlement amount.

By the way, you can accuse them of bait and switch, or anything else for that matter, but it won't mean anything because the other driver's insurance company is not your insurance company and owes you nothing until a court of law says so and says how much.
 

eeglas

Junior Member
Thank you for your replies.

Here are the relevant bits of communication:

This is in my initial demand letter:

"To finalize and conclude this claim, this notice is a demand for compensation for injury and suffering in the amount of $7,000.00 ($9,500.00 less medical $2,500.00 costs already reimbursed to (my insurance company)."

I went back and forth, as expected, with them coming up a bit incrementally and me moving down incrementally, and this was the paragraph from my communication with them requesting the amount they subsequently agreed to:

"Once again, to compensate me for my injuries and trauma, as well as my time deviated to receive treatment, and to quickly bring this claim to an amicable resolution, I request a personal injury settlement in the amount of $5,250.00, which will finalize and conclude this claim."

I was of the mindset that the paper trail and my initial describing the breakdown of the demand was enough.

This is the at-fault insurance company response to accept this demand:

"This will confirm receipt of your demand on 12/29/2021. (At-fault insurance company) can offer $5,250.00 to settle this claim in exchange for a release in full of our insured(s) and (insurance company)."

Then I responded:

"Thank you for agreeing to my settlement amount of $5,250.00 ($7,750.00 less $2,500.00 already reimbursed) to settle this claim in exchange for a release in full of your insured (name) and (Insurance Company.)

Please remit the check in the amount of $5,250.00 made payable to (me) and mail to (my address) within 10 (ten) days of this correspondence."

Then this arrived from them:

"This will confirm our agreement to settle (name -- me) Bodily Injury Claim for the amount of Five Thousand Two Hundred Fifty dollars ($5,250.00), of which Two Thousand Five Hundred dollars ($2,500.00) will be/has been paid to (my insurance company) for PIP benefits paid and Two Thousand Seven Hundred Fifty dollars (2,750.00) will be paid to you."

I sent them the breakdown of my original demand again, and this is their reply:

"The current offer from (at fault insurance company) is $5,250.00 which was the amount demanded in your prior correspondence for settlement.
We recognize your new demand for $7,750.00, however we do not agree in value and cannot agree to settle for that demand."

I replied and pointed out that that is not what I demanded and sent a copy of the original correspondence. They replied that they would settle for $5,450.00 ($200 more, but still deducting the $2,500.00 on the check to net $2,950.00 to me), and that this is their "best offer."

That is NOT what I demanded, and thought I had been clear in this. How can they agree to it and then change it?

Thank you for guidance on this matter.
 

adjusterjack

Senior Member
Unfortunately, I can see their argument that this:

"Once again, to compensate me for my injuries and trauma, as well as my time deviated to receive treatment, and to quickly bring this claim to an amicable resolution, I request a personal injury settlement in the amount of $5,250.00, which will finalize and conclude this claim."

Was clearly a request for a gross (not net) amount of $5250 to close the claim. Doesn't matter what you assumed was going to happen based on your prior discussions.

And then you switched up to this:

Thank you for agreeing to my settlement amount of $5,250.00 ($7,750.00 less $2,500.00 already reimbursed) to settle this claim in exchange for a release in full of your insured (name) and (Insurance Company.)

Which they apparently are not agreeing to.

That is NOT what I demanded, and thought I had been clear in this. How can they agree to it and then change it?

That's easy. What you think is clear is not what they think is clear. That they jumped on your mistake was sneaky but there isn't anything you can do about it.

If you want $7750 you are going to have to sue the other driver for it.

Understand that settlement discussions cannot be raised in court. Neither of you can mention them. So they can't say you asked for $5250 and you can't say they agreed to $7250.

You'll have to try your case on its merits.

Here's a suggestion (not legal advice and no guarantee):

Fill out a WA small claims complaint for $10,000 (the maximum), send it to the claim rep saying that you'll be suing for $10,000 in ten days if they don't reconsider their offer. Be prepared to file suit if they don't agree. Don't bluff. If you threaten to sue and you don't, they'll just close the file until you accept the $2950. They can afford to outwait you until the Statute of Limitations runs out.
 

eeglas

Junior Member
Thank you. I should have been more thorough in my agreement and carefully delineated the breakdown of what I expected in every communication. Never trust an insurance company, even one's own (not in this case, but going forward anyway). Good tips. Will think about the headache, and maybe just accepting what they've offered to move on with my life. Sigh... sneaky, very much so... how they keep their money. Lesson learned, abut hopefully will never have to repeat. Thank you!
 

Zigner

Senior Member, Non-Attorney
You asked for $7,750.00, then you lowered that amount to $5,250. Then, when they agreed to that offer, you went back to $7,750. Honestly, it's you who are doing the "bait and switch".

As a reminder, here is the offer you made that they accepted:
"Once again, to compensate me for my injuries and trauma, as well as my time deviated to receive treatment, and to quickly bring this claim to an amicable resolution, I request a personal injury settlement in the amount of $5,250.00, which will finalize and conclude this claim."
 

eeglas

Junior Member
Yes, what I should have written was "Once again, to compensate me for my injuries and trauma, as well as my time deviated to receive treatment, and to quickly bring this claim to an amicable resolution, I request a personal injury settlement in the amount of $7,750 less $2,500 reimbursed to my insurance company netting $5,250 to me..." and have incorporated that breakdown in every iteration of negotiation. Because I had stated the breakdown at the beginning of the communication thread, I wrongly assumed it would carry forward. Of course, they knew exactly what they were doing and, as pointed out, seized on that error. As said, lesson learned, but hopefully will never have to do this again. Thank you all for your advice, guidance and suggestions.
 

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