When Your Insurer Denies, Delays or Stalls:
Bad Faith in Pennsylvania
The distinction that decides most of these questions
Pennsylvania's bad faith statute applies to your own insurer, under your own policy. Your underinsured motorist carrier. Your medical benefits coverage. Your homeowner's or property insurer.
It does not give you a bad faith claim against the other driver's insurance company. However badly that adjuster behaves, your relationship with them is adversarial by design, and the statute does not reach them. This single point resolves a large share of the confusion around the topic.
What the statute allows
If an insured proves bad faith, a court may award interest on the claim from the date it was made, at the prime rate plus three percent; punitive damages; and court costs and attorney's fees. That fee-shifting provision is what gives the statute real teeth.
The standard is demanding
Bad faith generally requires clear and convincing evidence that the insurer had no reasonable basis for denying benefits, and that it knew or recklessly disregarded that lack of a reasonable basis. Both parts have to be there.
What that means in practice: a low offer is not bad faith. A genuine disagreement about what a claim is worth is not bad faith. A slow but real investigation is not bad faith. The statute targets unreasonable conduct, not unwelcome conduct.
Where it comes up in injury cases
Most often in underinsured motorist claims. You carry UIM coverage, the at-fault driver's limits are exhausted, you present your claim to your own carrier — and then nothing happens for months. Or the carrier refuses to explain its valuation, or declines to acknowledge documentation you have sent repeatedly, or never conducts a meaningful investigation before denying.
The distinguishing feature is usually a pattern: an absence of investigation, an absence of explanation, and an absence of movement, sustained over time and documented.
What to document while it is happening
This is the part you can do yourself, starting today, and it is worth more than anything else.
Keep a dated log of every call: who you spoke to, what they said, what they promised. Put substantive requests in writing — email is fine — so there is a record of what you asked for and when. Keep proof that you sent records. Request a complete copy of your policy including the declarations page. Save every letter, including the envelope. Note every date the carrier said it would respond and did not.
The free option that also creates a record
You can file a consumer complaint with the Pennsylvania Insurance Department at no cost. It does not produce damages, and it will not resolve a valuation dispute. But it requires the insurer to respond to the regulator in writing, and that written response is often more informative than anything the adjuster has told you. It also creates a dated, third-party record of the dispute.
Talk it through with someone local. If you have questions about your own situation, the attorneys at Joyce, Carmody & Moran can review what happened and explain your options — no cost for the first conversation, and no obligation. We are based in Pittston and handle injury matters throughout Luzerne County.
Let’s Work Together
When you work with us, you can expect clear communication, thoughtful strategy, and a team that is fully invested in your goals. We take the time to understand your needs, tailor our approach, and stand with you through every step of the legal process. Let’s move forward — together.