Homeowner Insurance Companies may require Insured to submit to Examination Under Oath as Condition to Payment of Claim
by Michael Papuc
Attorney at Law
44 Montgomery St., Suite 2405
San Francisco, CA 94104
415-773-1755
Michael.Papuc@gmail.com
San Francisco Attorney Michael Papuc has been practicing Insurance litigation in California since 1987. Attorney Michael Papuc represents policy holders ("insureds") in lawsuits against their insurance companies for bad faith claims handling. The following is a brief summary of California law concerning an insurer’s right to examine its insured under oath while investigating the claim.
Many property insurance policies (homeowners, earthquake, flood, landlord protection, renters) obligate the policy holer ("insured") to submit to an examination under oath if requested by the insurer in connection with any claim. The examination is normally conducted orally before a court reporter who administers the oath and transcribes the proceeding. A standard examination under oath provision is contained in Insurance Code, sec. 2071: "The insured, as often as may be reasonably required, shall ... submit to examinations under oath by any person named by this company, and subscribe the same ... "
An examination under oath is not a deposition. Depositions occur as part of a lawsuit. However, an examination under oath is similar to a deposition in that it is formal testimony of matters relevant to a claim. An examination under oath can occur before or even after a lawsuit is filed.
Examinations under oath are frequently conducted where a loss is undocumented or the circumstances of the loss are suspicious. The vast majority of losses do not trigger an insurance company to undertake the financial investment to conduct an examination under oath.
Once an examination under oath is requested by an insurer, the insured's submission to an examination becomes a condition precedent to the insurer's obligation to pay the claim. The insurer has the absolute right to require the insured to submit even if its purpose is to gather evidence to defeat the claim. (
California Fair Plan Ass'n v. Sup.Ct. (
Darwish) (2004) 115 Cal.App.4th 158, 167.)
Moreover, no bad faith action can be maintained because "(t)here can be no unreasonable delay until the insurer receives adequate information to process the claim and reach an agreement with the insureds." (
Globe Indem. Co. v. Sup.Ct. (Guarnieri) (1992) 6 Cal.App.4th 725, 731.)
The insurer's right to demand an examination must be exercised in a reasonable manner. (
Hickman v. London Assur. Corp. (1920) 184 Cal. 524, 529.) Any objection by the insured as to the reasonableness of the time, place or mode of examination must be timely raised or is waived. (
Hickman v. London Assur. Corp., supra, 184 Cal. at 533.) An insured's stalling of a requested exam may be treated as a refusal. (
Brizuela v. CalFarm Ins. Co. (2004) 116 Cal.App.4th 578, 588 (insured claimed unavailability on dates requested by insurer and failed for more than 6 months to propose any dates or to respond in a timely manner to insurer's proposed dates.).)
An insured may be required to submit to an examination under oath "concerning all proper subjects of inquiry." (
Globe Indem. Co. v. Sup.Ct. (Guarnieri) (1992) 6 Cal.App.4th 725, 731.) Under statutory restrictions (applicable to fire insurance, residential property insurance and residential earthquake insurance (Ins.Code § 790.031)), questioning is limited to information that is "relevant and reasonably necessary to process or investigate the claim." (Ins .Code § 2071.1(a)(2).)
As long as the examination is on proper subjects of inquiry, the insurer's motives are irrelevant and the insured cannot refuse the examination. (
Hickman v. London Assur. Corp. (1920) 184 Cal. 524, 530 (expressly approving insurer's right to take EUO, regardless of alleged improper motive).) The privilege against self-incrimination is
not ground for refusing the insurer's demand for an examination under oath. (
Hickman v. London Assur. Corp., supra, 184 Cal. at 529.)
If an insured fails to submit to an examination under oath reasonably requested by the insurer, or even refuses to answer relevant questions at the examination under oath, the insurer has a right to deny payment of the claim. A policy holder should retain an attorney knowledgeable in the area of insurance bad faith law when requested to submit to an examination under oath by his or her insurer.