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HOME / BAD FAITH / SOUTH CAROLINA · § 38-59
BAD FAITH · SOUTH CAROLINA · TITLE 38, CH. 59

When a South Carolina carrier refuses a covered loss without reasonable cause

South Carolina gives a policyholder two separate levers when a carrier unreasonably refuses to pay: a common-law bad-faith lawsuit for damages, and a statute that can make the insurer pay your attorney fees. This guide explains both, and where the lines are.

UPDATED AUG 202612 MIN READSOUTH CAROLINA LAW NOT LEGAL ADVICE
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IN SHORT: THE SHORT ANSWER
  • South Carolina recognizes a first-party bad-faith tort: if your own insurer refuses to pay a covered claim without a reasonable basis, you may sue for the damages that refusal caused, separate from the policy benefits themselves.
  • S.C. Code Title 38, Chapter 59 sets "improper claim practices." Under § 38-59-40, a carrier that fails to pay a covered claim within 90 days after demand, where the trial judge finds the refusal was without reasonable cause or in bad faith, is liable for your reasonable attorney fees, capped at one third of the judgment.
  • The test is reasonableness, not perfection. A carrier that investigates and pays what it honestly believes is owed is not in bad faith, even if a court later disagrees on the number.
  • Bad faith is usually pled alongside breach of contract, not instead of it. You can win the contract claim and still lose the bad-faith claim, or win both.
  • Deadlines run regardless. South Carolina generally applies a 3-year limitation to these claims and requires prompt notice under the policy. This is general information. Confirm the current statute and your own dates with a licensed South Carolina attorney.
IN THIS GUIDE
01THE STANDARD

What "bad faith" means in South Carolina

Bad faith is not "my insurer was wrong." Insurers are allowed to be wrong. Bad faith is the narrower charge that the carrier handled your claim unreasonably: that it refused a benefit it owed, or sat on it, without a fair basis in its own file. South Carolina reaches that conduct two ways at once: through the courts, as a tort you can sue on for damages; and through statute, which can make the insurer pay your attorney fees.

The organizing idea across both is the "fairly debatable" line. If the coverage question was genuinely open (reasonable people, looking at the same policy and facts, could disagree) a denial usually is not bad faith even if you ultimately win. If it was not debatable, and the carrier denied, delayed, or shorted you anyway, the extra conduct is what bad-faith law is built to reach.

02THE COMMON-LAW TORT

The four things a bad-faith case proves

Policyholder reviewing claim paperwork at a desk
South Carolina makes the insured prove the refusal was unreasonable and in bad faith: four elements, each a place the carrier will push back. STORM FOOTAGE

South Carolina recognizes a first-party bad-faith action in tort: your own insurer, your own policy. The seminal decision is Nichols v. State Farm Mut. Auto. Ins. Co. (S.C. 1983), which held an insured may recover consequential damages when a carrier refuses, without a reasonable basis, to pay benefits owed under the policy. Courts have described the case in terms of four building blocks:

01 A valid, enforceable contract A policy in force covering the loss. If coverage is genuinely debatable, the claim may be a coverage dispute rather than bad faith.
02 Refusal to pay benefits due The carrier denied, underpaid, or unreasonably delayed a benefit the policy actually owed.
03 No reasonable basis for the refusal The heart of the case. The insurer had no fairly debatable reason: its own file, not your say-so, shows the denial was unsupported.
04 Resulting damages The refusal caused you harm beyond the unpaid benefit: consequential loss, and in the right facts, emotional distress or punitive damages.

Element three, no reasonable basis, is where these cases are won and lost. It is proved out of the carrier's own claim file: the adjuster notes, the inspection (or the absence of one), the internal correspondence, and whether the denial reason survives its own investigation. This is why the first move in a contested claim is a written demand for the complete file.

SOUTH CAROLINA · THE STANDARD
Insurers are allowed to be wrong. Not unreasonable.
REPRESENTATIVE FOOTAGE
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03THE STATUTE · § 38-59-40

Chapter 59 and the fee-shifting statute

Separate from the common-law tort, South Carolina’s insurance code addresses claim conduct directly. Title 38, Chapter 59 is titled "Claims Practices" and defines improper refusals to pay. Two sections do the work most policyholders care about:

§ 38-59-20 · IMPROPER PRACTICES

Lists the claim-handling conduct the state treats as improper, including failing to adopt reasonable standards for the prompt investigation and settlement of claims, unreasonable delay or failure to pay or settle a claim in full, and failing to acknowledge claim communications with reasonable promptness. A practice qualifies when committed without just cause and with such frequency as to indicate a general business practice. It frames the standard the fee statute enforces.

§ 38-59-40 · ATTORNEY FEES

Where a carrier fails to pay a covered claim within 90 days after demand and the trial judge finds the refusal was without reasonable cause or in bad faith, the insurer is liable for the insured's reasonable attorney fees, capped at one third of the judgment. It shifts the cost of the fight toward the party that caused it.

WHY IT MATTERS A fee-shifting statute changes the economics of a small or mid-size claim. When the carrier knows an unreasonable denial can put your legal fees on its own ledger, the value of stalling drops.

Read the operative words carefully: the recovery turns on the claim being covered, a demand by the policyholder, a failure to pay within 90 days after the demand, and a trial-judge finding that the refusal was without reasonable cause or in bad faith. The fee is capped at one third of the judgment. The exact prerequisites are details to confirm with counsel; this page is a map, not the statute itself.

04TWO CLAIMS, ONE FILE

Bad faith vs. breach of contract

These are different claims doing different jobs, and they are usually pled together. Keeping them straight is the difference between recovering only what the policy owed and recovering what the carrier's conduct cost you on top of it.

BREACH OF CONTRACTBAD FAITH
Recovers the unpaid policy benefit: the money the contract owed. Recovers the harm the unreasonable refusal caused, beyond the benefit itself.
Turns on the policy language and the loss. Turns on the carrier's conduct: was the refusal reasonable?
Available whenever the carrier underpays or denies a covered loss. Available only when the handling crossed from wrong to unreasonable.

You can win the contract claim and lose the bad-faith claim: the carrier was wrong but reasonable. You can win both. Rarely, the contract claim is close and the conduct so egregious the bad-faith claim carries the case. The damages guide covers what each claim can actually recover.

A suburban neighborhood levelled by a hurricane, the scale of loss behind a South Carolina bad-faith insurance claim
TWO CLAIMS, ONE FILE
Breach recovers the benefit. Bad faith recovers the harm.
REPRESENTATIVE FOOTAGE
05THE OTHER SIDE

What the carrier will argue back

Expect the "fairly debatable" defense first: the insurer will say the coverage question was genuinely open, so its denial, even if wrong, was reasonable. Your answer lives in the file. A denial reached without a real inspection, at odds with the carrier's own engineer, or reciting boilerplate that ignores your evidence is a lot harder to call "debatable."

Expect, too, an argument that you failed a policy condition: late notice, no proof of loss, no cooperation. These are answerable, but they are why the paper trail matters: prompt written notice, a documented proof of loss, and a record of every request the carrier made and how you met it. The delay-and-lowball guide catalogs the handling patterns that cut the other way.

06THE CLOCK

Deadlines and how to escalate

South Carolina generally applies a three-year limitation period to bad-faith and related claims, and your policy separately requires prompt notice of the loss and may contain its own suit-limitation clause. The date the clock starts, and which clock controls, is fact-specific and easy to get wrong. Treat every deadline as sooner than you think and confirm it with a licensed South Carolina attorney.

Escalation before suit usually runs: written demand for the full claim file → a South Carolina DOI consumer complaint → appraisal if the policy provides it → litigation. Each step is cheaper and faster than the one after it. If the numbers justify help, a public adjuster or a property-insurance attorney can carry the escalation for you; the deadline countdown tracks the dates.

Drone view of a South Carolina style residential neighborhood, the homeowners whose claims fall under S.C. Code Title 38
THE CLOCK
Treat every deadline as sooner than you think.
REPRESENTATIVE FOOTAGE

Not legal advice; consult an attorney about your specific claim.

07QUESTIONS

South Carolina bad-faith FAQ

Does South Carolina recognize first-party bad faith against my own insurer?

Yes. South Carolina recognizes a first-party bad-faith cause of action in tort; the seminal case is Nichols v. State Farm Mutual Automobile Insurance Co. (S.C. 1983), which held that an insured may recover consequential damages when the insurer refuses, without a reasonable basis, to pay benefits owed under a contract of insurance. This is a general summary; the precise standard and any later refinements should be confirmed with counsel.

What does § 38-59-40 actually do?

S.C. Code § 38-59-40, within the "improper claim practices" chapter, makes the insurer liable for the policyholder's reasonable attorney fees when a covered claim goes unpaid for 90 days after demand and the trial judge finds the refusal was without reasonable cause or in bad faith. The fee is capped at one third of the judgment. It is a fee-shifting remedy, not a separate damages award. Confirm the current text and the prerequisites with a South Carolina attorney.

Is bad faith the same as just losing a coverage argument?

No. A carrier is allowed to be wrong if it was reasonable. When coverage is "fairly debatable," a denial is generally not bad faith even if a court later rules for the policyholder. Bad faith targets refusals with no reasonable basis: a denial the insurer's own investigation did not support, or that it reached without investigating at all.

Can I recover punitive damages for insurance bad faith in South Carolina?

Potentially. Where the insured proves the insurer acted with more than mere negligence (a reckless or willful disregard of the insured's rights), punitive damages may be available under South Carolina law, subject to statutory and constitutional limits on the amount. Whether the facts support punitives is highly case-specific.

Do I file bad faith instead of breach of contract?

Usually you plead both. The contract claim recovers the unpaid policy benefit; the bad-faith claim recovers the additional harm the unreasonable refusal caused. They can rise and fall independently; this is one reason these cases are typically handled by counsel.

How long do I have?

South Carolina generally applies a three-year statute of limitations to bad-faith and related claims, and your policy requires prompt notice of the loss. The exact trigger date and any policy suit-limitation clause matter. Confirm your specific deadlines with a licensed South Carolina attorney immediately.

SOURCES
  • S.C. Code Title 38, Chapter 59: Claims Practices ↗: The "improper claim practices" chapter, including § 38-59-20 (improper claim practices) and § 38-59-40 (attorney-fee liability when a covered claim goes unpaid 90 days after demand and the refusal is found without reasonable cause or in bad faith).
  • S.C. Code Title 38, Chapter 57: Trade Practices ↗: Unfair methods of competition and unfair or deceptive acts in insurance (§ 38-57-30 general prohibition); claim-settlement conduct is in Chapter 59 (§ 38-59-20).
  • Nichols v. State Farm Mut. Auto. Ins. Co. (S.C. 1983): South Carolina Supreme Court: recognized the first-party bad-faith tort and consequential-damages recovery for an unreasonable refusal to pay policy benefits.
  • South Carolina Department of Insurance: Consumers ↗: State regulator consumer resources; file a complaint against an insurer.
  • SC DOI consumer complaint ↗: Complaint intake for policyholders: online and PDF complaint forms via the Office of Consumer Services.
WHERE THIS LEAVES YOU

Two levers, one reasonableness test.

South Carolina gives a policyholder two levers. First, a common-law bad-faith tort: if your insurer refuses to pay a covered claim without a reasonable basis, you may sue for the damages that refusal caused, apart from the policy benefits. Second, statutory: Title 38, Chapter 59 sets the state's improper claim practices, and § 38-59-40 makes a carrier liable for your reasonable attorney fees, capped at one third of the judgment, when it fails to pay a covered claim within 90 days after demand and the trial judge finds the refusal was without reasonable cause or in bad faith. Both levers turn on reasonableness, not perfection. Bad faith is usually pleaded alongside breach of contract, not instead of it. This is a first-party matter for a property loss.

Deadlines run regardless. South Carolina generally applies a 3-year limitation and requires prompt notice under the policy, so confirm your dates with a licensed South Carolina attorney. The South Carolina overview collects the statutes and timing, and if the claim was denied the denial guides pin down coverage first. A public adjuster can document the gap. The free review below takes your letters, the estimate, and your correspondence.

FREE CASE REVIEW · SOUTH CAROLINA

Think your carrier crossed the line? Find out.

Upload the denial letter and the claim correspondence. You'll get a straight read on whether the handling was unreasonable, and whether § 38-59-40 could put the carrier on the hook for your fees.

General information, not legal advice. Submitting does not create an attorney-client relationship.

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