Table of Contents
Page | ||
Chapter 1 | The Purpose of Examinations Under Oath | 1 |
A) Introduction | 1 | |
B) Examination Under Oath Defined | 1 | |
C) General Purpose | 3 | |
D) Distinguishing Examinations Under Oath From Other Proceedings | 6 | |
1.Introduction | 6 | |
2.Recorded Interviews Distinguished | 6 | |
3.Depositions Distinguished | 8 | |
E) The Purpose of Avoiding Litigation | 14 | |
Chapter 2 | Enforceability Of Provisions Requiring Examinations Under Oath | 17 |
A) Enforceability In General | 17 | |
B) Statutory No-Fault Provisions | 20 | |
Chapter 3 | Demand for the Examination Under Oath | 25 |
A) The Requirement of a Demand | 25 | |
B) Time | 27 | |
C) Location | 30 | |
D) Multiple Examinations | 33 | |
E) Requirement To Bring Documents | 35 | |
F) Delivery Of Notice/Service Of Demand | 36 | |
G) Timeliness Of Request | 38 | |
Chapter 4 | Who Must Submit To An Examination | 43 |
A) Family Members Of Named Insureds | 45 | |
B) Corporate Insureds | 48 | |
C) Executors | 51 | |
D) Mortgagees | 52 | |
E) Separation of Insureds | 58 | |
Chapter 5 | Scope Of Examination | 67 |
A) Broad Scope | 67 | |
B) Financial Condition of Insured | 69 | |
C) Financial Condition of Corporate Insured and Shareholders |
72 | |
D) Condition of Risk | 75 | |
E) Insured’s Whereabouts | 75 | |
F) Previously Asserted Claims | 76 | |
G) Property Damaged Or Lost | 76 | |
H) Procurement Of Insurance Policy | 78 | |
I) Personal Injuries and Causation | 78 | |
J) Subrogation | 79 | |
K) Explaining Materiality To Insured | 79 | |
L) Bases For Paying Claim | 83 | |
M) Limitations to Examination | 84 | |
Chapter 6 | Effect of Failure to Submit | 87 |
A) Conduct Constituting Breach | 87 | |
1. Introduction | 87 | |
2. Refusal to receive notice | 87 | |
3. Timeliness of compliance | 88 | |
4. Refusal to produce documents | 95 | |
5. Refusal to complete examination | 98 | |
6. Invocation of the “Fifth Amendment” | 102 | |
B) Remedy for Breach | 122 | |
1. Condition precedent | 124 | |
2. Abatement only | 131 | |
3. Absolute Bar | 132 | |
4. Insurer must show prejudice | 139 | |
a. Demonstrating prejudice | 140 | |
b. Burden of establishing prejudice or willful refusal | 146 | |
c. Presumption of prejudice | 149 | |
Chapter 7 | Subscription to Examination Under Oath | 155 |
Chapter 8 | Insurer’s Potential Waiver of Rights | 159 |
A) Conduct Of The Insurer That May Be Viewed As A Waiver Of The Right To Examine The Insured Under Oath. |
159 | |
B) Waiver Of Other Rights Under A Policy Of Insurance By Conducting Examination Under Oath. |
163 | |
1. Limitation periods | 163 | |
2. Proof of loss | 165 | |
Chapter 9 | Potential Deposition Preclusion | 167 |
Chapter 10 | Polygraphs and EUOS | 177 |
A) Introduction | 177 | |
B) Right to Request Polygraph Exams | 177 | |
C) Ability to Rely on Polygraph Examinations Conducted by Others | 180 | |
Chapter 11 | Good Faith Conduct of Examinations Under Oath | 183 |
A) Introduction | 183 | |
B) Requesting an Examination Under Oath | 183 | |
C) Unfair Trade Practices | 185 | |
D) Failure to Advise Insured of Right to Attorney | 186 | |
E) Defamation | 188 | |
F) Bad Faith on the Part of the Insured | 188 | |
Chapter 12 | Topics of Inquiry | 191 |
A) Adjustment Issues | 191 | |
B) Identifying the Examinee | 191 | |
C) Purpose of the Examination | 192 | |
D) Ultimate Questions | 193 | |
E) Background Information | 196 | |
F) Character | 197 | |
G) Other Claims | 200 | |
H) The Insured’s Financial Condition | 202 | |
I) Motive | 210 | |
J) History of the Insured Risk | 212 | |
K) Opportunity | 215 | |
L) Incendiary Origin | 218 | |
M) Misrepresentations | 219 | |
N) Others With Motive | 220 | |
O) Bases For Paying Claim | 220 | |
P) Adjustment Issues | 222 |