Understanding the Follow-the-Fortunes Doctrine in Insurance Law

Definition & Meaning

The follow-the-fortunes doctrine is a principle in insurance law that holds a reinsurer accountable for the decisions made by the reinsured regarding the payment of claims. This doctrine applies as long as the reinsured's decisions are made in good faith and are reasonable. Essentially, it allows the reinsured to manage claims without the risk of having to defend their decisions against the reinsurer, thereby fostering a collaborative relationship in the claims process.

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Real-world examples

Here are a couple of examples of abatement:

Example 1: A primary insurer pays a claim for damages that it believes are covered, even though the reinsurer argues otherwise. Under the follow-the-fortunes doctrine, the reinsurer must honor this decision as long as it was made in good faith.

Example 2: A reinsurer challenges a claim payment made by the reinsured. However, if the reinsured can demonstrate that their decision was reasonable and in good faith, the reinsurer cannot contest the payment. (hypothetical example)

State-by-state differences

State Variation
California Generally follows the follow-the-fortunes doctrine but may have specific statutes affecting reinsurance contracts.
New York Strongly enforces the doctrine, emphasizing good faith in claims decisions.

This is not a complete list. State laws vary, and users should consult local rules for specific guidance.

Comparison with related terms

Term Definition Difference
Follow-the-fortunes doctrine Reinsurer is bound by the reinsured's good-faith claims decisions. Focuses on the reinsured's discretion in claims management.
Follow-the-settlements doctrine Reinsurer must accept the reinsured's settlements as final. Concerns settlements rather than general claims decisions.

What to do if this term applies to you

If you are involved in a reinsurance agreement and believe the follow-the-fortunes doctrine applies, consider the following steps:

  • Review your claims decisions to ensure they are reasonable and made in good faith.
  • Consult with a legal professional if you face disputes with your reinsurer.
  • Explore US Legal Forms for templates that can help you manage your reinsurance agreements effectively.

Quick facts

  • Applicable area: Insurance law
  • Key focus: Good faith claims decisions
  • Potential disputes: Claims not covered by original policies

Key takeaways

Frequently asked questions

It is a principle in insurance law that binds reinsurers to the good-faith claims decisions of the reinsured.