Policyholder Rights in Georgia

Your insurance policy is one document. Your rights are also defined by state insurance regulations. Know both.

This article addresses Georgia law and regulation. Rules in other states differ. See other claims and coverage guidance if your state is different.

Georgia policyholder rights

Georgia policyholders are protected by the Georgia Unfair Trade Practices Act and the Georgia Insurance Code. These laws set minimum standards for how carriers must handle claims, communicate with policyholders, and process payments.

Your core rights in Georgia

As a policyholder, you are entitled to the following.

  • Written acknowledgment of your claim within 15 calendar days
  • A written decision (accept or deny) within 15 business days of completing investigation
  • A denial must cite the specific policy provision being relied upon
  • Payment must be issued promptly once a claim is accepted
  • The right to request an appraisal if you dispute the settlement amount
  • The right to appeal a denial internally before litigation
  • The right to file a complaint with the OCI at no cost

The appraisal clause

Most property policies contain an appraisal clause: if you and the carrier cannot agree on the amount of a loss, each party selects an independent appraiser. The two appraisers then select an umpire. A decision by any two of the three is binding. Appraisal is typically faster and cheaper than litigation for amount disputes.

Where to go for help

If you believe your rights have not been honored, these are your next steps.

Common Questions

Frequently asked questions

What does the Georgia Office of Insurance and Safety Fire Commissioner regulate?

The Georgia Office of Insurance and Safety Fire Commissioner (OCI) licenses insurance companies and agents doing business in Georgia, reviews and approves property, casualty, life, and health insurance rates and policy forms, investigates policyholder complaints, and pursues insurance fraud through its Fraud Investigation Unit.

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What are my rights as an insurance policyholder in Georgia?

Georgia policyholders have the right to a written claim acknowledgment within 15 calendar days, a decision within 15 business days of a completed investigation, a denial that cites the specific policy provision relied on, the right to request appraisal over a disputed amount, and the right to file a free complaint with the Georgia Office of Insurance and Safety Fire Commissioner.

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Can I appeal a denied insurance claim in Georgia?

Yes. You can ask your carrier to reconsider with new evidence, invoke the appraisal clause if the dispute is only about the dollar amount, or file a free complaint with the Georgia OCI. If the denial had no reasonable basis, Georgia's bad faith statute, O.C.G.A. Section 33-4-6, may also apply.

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