Bad Faith (BF) Insurance Survey

Do you have a consumer insurance complaint or been unfairly denied on a claim by an insurance company? Has an insurance company made a lowball or improper settlement offer on your insurance claim? Have you encountered bad faith by an insurance company? Your insurance complaint counts here at FBIC. Please take a minute to complete and submit the consumer insurance complaint and bad faith survey form:

1. FBIC should investigate Bad-faith or Unfair Insurance Claims Practices by the following Insurance Company:

If other, please identify:

2. The nature of the bad-faith insurance allegation in reference is related to the following coverage:

If other, please identify:

3. Did you ever submit a claim to the Insurer in question?

4. Were you denied coverage?

5. The Claim is a result of:

If other, please identify:

6. Did the Insurance Company, to your knowledge, conduct a thorough and objective investigation?

7. Were you asked to submit to an in-person examination under oath?

If Yes, were there any problems or irregularities providing it?

8. Were you asked to provide a written sworn statement?

If Yes, were there any problems associated with providing your sworn statement?

9. Did you discover any misconduct or wrongdoings on behalf of the Insurance Company?

If Yes, misconduct or wrongdoing(s) allegedly were committed on behalf of the Insurance Company by the following:

Agency

Consultant

Employee/Claims Administrator

Adjuster

Investigator

Attorney

Other

10. How did you find out about the misconduct or wrongdoing?

If other, please identify:

11. When (approximately) did you initially discover this insurance company related misconduct?

(Month/Year):

12. Please provide the approximate date of the last bad-faith occurrence to your knowledge by the Insurance Carrier.

14. Did you ever take legal action against the Insurance Company?

15. Was the Insurance Company requested to authorize or make payment regarding a temporary remedy covered by your Insurance Policy?

If Yes, did they make payment?

16. How much is your claim? (approximate):

17. Are you Interested in participating with other FBIC members if legal action is taken in your State against your Insurer?

18. Can we reference or use your specific case?

(Please note: Address information will be kept confidential on referenced stories.)

19. Public Relations and Press in bringing attention to the Bad-faith Insurer in question (i.e. to win public opinion and persuade existing policyholders to cancel and switch insurance to another Insurer) is an important part of FBIC's strategy. Would you be interested in participating in a brief demonstration(s) in front of the Insurance Company's or its Agent's office nearest you?

20. Tell Us Who You Are and How We Can Contact You:

Email address(required)

First Name: (required)

Last Name: (required)

Address1: (required)

Address2:

City: (required)

County: (required)

State: (required)

Zip:

FBIC asks you for your support! FBIC is a (501)(c)(3) IRS tax-exempt non-profit organization. FBIC incurs substantial expense in its mission to rank, expose and stop bad faith insurance companies from harming you and yours. FBIC asks you for your tax-deductible donation and support of its mission! Thank you for your consideration.

I wish to make a tax-deductible donation to FBIC.

I do not wish to donate at this time

I represent to the best of my knowledge that the answers and information I have provided herein are truthful.

If the information you have provided is complete, please press the Submit Form button once.

This field should be left blank

Please wait...