Homeowners' Insurers Must Furnish Blank Proof Of Loss Forms Within 60 Days

The purpose of a sworn proof of loss is to document the amount claimed is accurate and a genuine loss. If it later turns out the claim was inflated or fraudulent, the sworn statement can be used by a prosecutor for insurance fraud in a criminal case or denial of the claim for insurance for fraud in Oklahoma.

According to Oklahoma insurance law attorneys, there is a wide and varied practice in the insurance industry concerning the requirement for a signed, sworn proof of loss before payment of an insurance claim.  Some insurers insist on a signed proof of loss and others could care less.

Oklahoma law provides an insurer cannot assert the failure of the insured to tender a proof of loss as a defense to payment of the homeowners' claim unless the insurance company has furnished the policy holder with two blank proof of loss forms and warned the insured that the proof of loss must be tendered to the insurer within 60 days from the date of receipt of the blank forms. An insurer adjusting a loss under a fire policy can waive the requirement for a signed proof of loss if it doesn't make demand within a suitable time.

Insurers sometimes overlook the requirement to submit two blank proof of loss forms. Many Oklahoma insurance defense lawyers are critical of the requirement.  The reason for providing two forms appears to be a carryover from many years ago when scanners, copiers, and other means of reproduction were not as common and convenient. The second blank form was so the insured would have a copy for their own records.  Insurance attorneys in Oklahoma see the requirement for submission of duplicate blank forms as a requirement that no longer meets any real need of the insured.

Insurance Fraud In An Application Can Result In Rescission Of The Policy

Oklahoma insurance law attorneys agree there are a number of reasons why a policy may be voided by an insurance company.  Fraud by the applicant or policy holder is the most common reason an insurance company would rescind or void an insurance policy.  Rescission is defined as:

1. A party's unilateral unmaking of a contract for a legally sufficient reason, such as the other party's material breach, or a judgment rescinding the contract; voidance.  Rescission is generally available as a remedy or defense for a nondefaulting party and is accompanied by restitution of any partial performance, thus restoring the parties to their precontractual positions. -- Also termed avoidance.  Black's Law Dictionary (8th ed. 2004)

According to Oklahoma statute 15 O.S. § 235, a party seeking to rescind or void a contract (which includes an insurance policy) must:

  • act promptly upon discovering facts which entitled him to do so
  • restore to the other party everything of value

In other words, experienced Oklahoma insurance attorneys advise their insurance company clients wanting to rescind a policy on the grounds of fraud to act quickly and also to return all premiums paidSneed v. State ex rel. Department of Transportation, 1983 OK 69, 683 P.2d 525 and Berlands's Inc., of Tulsa v. Northside Village Shopping Center, 1972 OK 152, 506 P.2d 908.

As a caveat fancy legal wording for caution or warning), accusing a policyholder of fraud needs to be done carefully.  In Oklahoma, an insurer really should consult with competent legal counsel before doing so.