In Texas, Errors & Omissions (E&O) insurance—also known as professional liability insurance—protects licensed professionals from financial liability from mistakes, omissions, or alleged negligence in performing their professional duties. E&O policies are contracts governed by Texas insurance and contract law, and ambiguities in policy language are generally interpreted in favor of the insured (RSUI Indem. Co. v. The Lynd Co., 466 S.W.3d 113 (Tex. 2015)). Texas recognizes both first-party and third-party bad faith insurance claims under the Texas Insurance Code § 541 and § 542, as well as under common law. These statutes prohibit insurers from unfair claim settlement practices and allow policyholders to recover attorney’s fees, interest, and potentially treble damages in cases of knowing violations.
Why Do Insurers Deny E&O Claims?
Texas insurers often rely on highly technical justifications to avoid paying claims. Common denial strategies include:
- Broad use of fraud or dishonesty exclusions
- Alleging the insured had prior knowledge of the potential issue
- Contesting whether the claim qualifies as a “wrongful act”
- Claiming damages are not “direct” or “economic” as required
- Asserting late notice or lack of proper cooperation
At Vargas Gonzalez Delombard, LLP, we know how to respond to vague denials and challenge insurers who attempt to rewrite the policy after a claim is filed.