Rhode Island Claims Compliance
Key regulatory requirements, correspondence deadlines, and mandated forms for Rhode Island (RI).
Catastrophe-Specific Rules Apply
Rhode Island has catastrophe-specific rules that may modify standard deadlines and require additional consumer notices during declared emergency periods. Check the Disclosures tab for details.
Quick Reference
Key Deadlines
Requirements
- Mandated Forms
- Catastrophe Rules
- Separate P&C / Life & Health
- Fraud Warning
- Depreciation Notice
- E-Delivery (with_consent)
Regulatory Authority
Rhode Island Department of Business Regulation (DBR) - Insurance Division
Phone: (401) 462-9520; Address: State of Rhode Island Department of Business Regulation – Insurance Division, 1511 Pontiac Avenue, Building 69-2, Cranston, RI 02920; Email: DBR.Insurance@dbr.ri.gov; Website: https://dbr.ri.gov/insurance-banking-securities-and-charitable-organizations/insurance
Bad Faith: R.I. Gen. Laws § 9-1-33
Lines of Business
Key Statutes
- R.I. Gen. Laws § 27-9.1-1 et seq.
- 230-RICR-20-40-2
Rhode Island handles claims correspondence according to specific state regulations. Requirements vary depending on the line of business and specific claim circumstances.
Acknowledgment
Every claim must be acknowledged within 15 calendar days of receipt. The acknowledgment should identify the insurance policy and coverage at issue.
Denial
A written denial must be issued within 21 calendar days. The denial must reference the specific policy provisions, conditions, or exclusions relied upon.
Statutory Language
Specific fraud warning required (R.I. Gen. Laws §§ 27-9.1-1).
LOB-Specific Requirements
Regulatory requirements for Rhode Island, grouped by line of business. Select a chip to filter.
- SOL Notice In Denial Required
- Yes
- Appraisal Process Details
- Upon written demand for appraisal, each party has 20 days to select a competent and disinterested appraiser, and the appraisers have 15 days to agree upon a competent and disinterested umpire (per Rhode Island Standard Fire Policy).
- Mediation Notice Required
- Conditional (see details)
- DOI Contact In Letters Required
- Yes
- Unfair Claims Practices Act RefStatutory
- R.I. Gen. Laws § 27-9.1-1 through § 27-9.1-9
- Prompt Payment Statute RefStatutory
- R.I. Gen. Laws § 27-9.1-4; 230-RICR-20-40-2.7
- HO Specific RequirementsStatutory
- R.I. Gen. Laws § 27-5-3 (Standard Fire Insurance Policy); 230-RICR-20-40-2.9 (Standards for Fire and Extended Coverage with Replacement Cost)
- Catastrophe Provisions
- DBR may activate a specific claims mediation program solely in the event of a Hurricane disaster.
- Public Adjuster RegulationsStatutory
- Insurers are prohibited from negotiating or effecting settlement with an unlicensed public adjuster (R.I. Gen. Laws § 27-9.1-4(26)); must confirm active license when presented with a contract/letter of representation.
- Depreciation Notice Required
- Yes
- Proof Of Loss Requirements
- Insurer must provide necessary claim forms and instructions within 15 days of notification; submission of properly executed proof of loss triggers the 21-day deadline to accept or deny.
- Suit Limitation Period
- 24 months after the inception of the loss (Rhode Island Standard Fire Insurance Policy)
Rhode Island Case Law
Published decisions that shape claim-handling and correspondence practice in Rhode Island. Pair these with the statutory deadlines above.
- Case Law
Summit Insurance Company v. Stricklett
199 A.3d 523 (2019)
Bad FaithCyberHomeownersexplicitly held that the duty of good faith does not run to a third-party claimant absent a formal assignment of rights from the insured .
- Case Law
Fenwick v. Oberman
847 A.2d 852 (2004)
Bad FaithHomeownersJustia: Bibeault v. Hanover Insurance Co., 417 A.2d 313 (1980)
- Case Law
Skaling v. Aetna Insurance Co
799 A.2d 997 (2002)
Bad FaithStatus UpdatesCommercial AutoHomeownersthe Rhode Island Supreme Court refined this standard. The Court held that an insurer must be able to show that the claim was fairly debatable and that the claim was evaluated in an appropriate and timely manner .
- Case Law
Asermely v. Allstate Insurance Co
728 A.2d 461 (1999)
Bad FaithStatus UpdatesCommercial AutoCommercial PropertyHomeownersthe Rhode Island Supreme Court established a groundbreaking rule regarding an insurer's fiduciary duty to settle . The Court declared that "an insurance company has a fiduciary obligation to act in the 'best interests of its insured in order to protect the insured from excess liability'" .
- Case Law
Rumford Property and Liability Insurance Co. v. Carbone
590 A.2d 398 (1991)
Bad FaithHomeownersFindLaw: Asermely v. Allstate Insurance Co., 728 A.2d 461 (1999)
- Case Law
Bartlett v. John Hancock Mutual Life Insurance Co
538 A.2d 997 (1988)
Bad FaithHomeownersRoger Williams University Law Review: Skaling v. Aetna Insurance Co. Analysis
Show 9 more cases
- Case Law
Bibeault v. Hanover Insurance Co
417 A.2d 313 (1980)
Bad FaithStatus UpdatesCommercial AutoCommercial PropertyHomeownersciting the Wisconsin Supreme Court's decision in Anderson v. Continental Insurance Co. . Under a strict reading of this doctrine, if an insurance claim was genuinely subject to dispute—whether in law or in fact—the insurer could not be held liable in tort for denying it .
- Case LawBad FaithProfessional Liability
. The Rhode Island Supreme Court ruled that an insurer defending a third-party claim owes a fiduciary obligation to act in the best interests of its insured to protect the insured from excess liability .
- Case LawBad FaithProfessional Liability
holding that a plaintiff had to demonstrate entitlement to a directed verdict on the underlying contract claim to even present a bad faith claim to a jury . However, in 2002, the court explicitly overruled the directed verdict requirement in Skaling v. Aetna Ins. Co. .
- Case LawBad FaithCyberProfessional Liability
the standard requires a plaintiff to demonstrate: (1) the absence of a reasonable basis for denying benefits of the policy, and (2) the defendant's knowledge or reckless disregard of the lack of a reasonable basis for denying the claim . If a claim is genuinely "fairly debatable" on the facts or the law, the insurer is generally entitled to debate it without facing tort liability .
- Case LawBad FaithProfessional Liability
. In this medical malpractice case, a hospital was sued for severe brain injury. The primary insurer ($15M limit) refused a global settlement demand and instead negotiated a high/low agreement during trial. When the jury returned a massive verdict triggering the high end of the agreement, the excess insurer ($11M limit) was forced to pay.
- Case LawBad FaithProfessional Liability
provided a safe harbor for insurers managing multiple claims that exceed policy limits. In such scenarios, the insurer does not face strict liability for failing to settle one claim globally; rather, the insurer's actions are judged under a broader factual context of reasonableness .
- Case LawReservation of RightsCyber
Clarified the Beals doctrine, holding that the right to independent counsel is not triggered by a mere pre-suit demand letter and an ROR. An actual lawsuit/complaint must be filed to determine if an actual conflict of interest exists requiring independent counsel. Current Status: Good law; active precedent. Imperial Cas. & Indem. Co. v. Bellini Citation: 888 A.2d 957 (R.I.
- Case LawReservation of RightsGeneral Liability
The right to independent counsel under Beals requires an actual lawsuit to evaluate the conflict against the complaint's allegations. An ROR issued in response to a pre-suit demand letter does not trigger the immediate right to independent counsel. Status: Binding precedent. Imperial Casualty and Indemnity Co. v. Bellini, 888 A.2d 957 (R.I.
- Case LawBad FaithCommercial PropertyCyber
Historical court cases are for reference only and may be superseded, distinguished, or abrogated.
Applicable Letter Templates
No letter templates currently found for this jurisdiction.