What is insurance estoppel?

Asked by: Taya Stanton  |  Last update: December 23, 2025
Score: 4.2/5 (34 votes)

This occurs when the insurer, through its words, actions, or conduct, leads the insured to reasonably believe that certain conduct or a particular state of affairs will be accepted or not contested, and the insured relies on that belief to their detriment.

What does estoppel mean in insurance?

Estoppel occurs when an individual is precluded from denying or alleging a fact as a consequence of a previous act or failure to act on the individual's behalf.

What does estoppel mean in simple terms?

Estoppel is an equitable doctrine , a bar that prevents one from asserting a claim or right that contradicts what one has said or done before, or what has been legally established as true. Estoppel may be used as a bar to the re-litigation of issues or as an affirmative defense .

What is the difference between waiver and estoppel in insurance?

Waiver usually requires that the insured prove the insurer's voluntary relinquishment of a policy right. Estoppel, in the context of this discussion, is the prohibition on an insurer to impose exclusionary contract provisions due to waivers or misrepresentations.

What is the principle of estoppel in simple words?

Estoppel is a crucial legal principle that prevents someone from denying their previous statements, promises, or actions. In simpler terms, if a person makes a promise or claim and another person acts based on that, the first person cannot later go back on their word.

Waiver vs Estoppel On the Insurance Exam

34 related questions found

What is the point of an estoppel?

“The purpose of an estoppel statement is twofold: (1) to give a prospective purchaser or lender information about the lease and the leased premises and (2) to give assurance to the purchaser or lender that the les- see at a later date will not make claims that are inconsistent with the statements contained in the ...

What are the conditions for estoppel?

In order for party A to get an estoppel against party B there needs to be evidence of: B has provided clear and unequivocal communication as to a given situation or alternatively, there is some kind of shared understanding between the two parties.

What are the three requirements for a successful claim in estoppel?

3d 462], the Supreme Court stated the four basic elements of estoppel: (1) the part to be estopped must be apprised of the facts; (2) he must intend that his conduct shall be acted upon, or must so act that the part asserting the estoppel had a right to believe it was so intended; (3) the other party must be ignorant ...

Are waivers binding under insurance law?

A waiver is a legally binding agreement, frequently leveraged as a risk transfer tool for events. A person signs a waiver, which educates on the event risks. By signing the waiver, the participant acknowledges those risks.

What does subrogation mean?

When you file a claim, your insurer can try to recover costs from the person responsible for your injury or property damage. This is known as subrogation. For example: Your insurance company pays your doctor for your treatment following an auto accident that someone else caused.

Who pays for estoppel?

The title company is responsible for ordering this document; the estoppel fee is usually paid by the seller. There is a trend, however, for this fee to be split between the buying and selling parties — or paid by the seller.

How do you argue estoppel?

Reliance: The party asserting estoppel must show that they relied on a false representation or concealment of material facts. The other party may argue that the person asserting estoppel did not actually rely on the false representation or that their reliance was not reasonable or foreseeable.

What is estoppel in layman's terms?

Estoppel is part of common law. It is a legal principle that prevents someone from going back on their word to someone else and unfairly causing damage to someone else. If legal action is taken, the court can stop (or estop) an individual from rescinding a promise made to another party.

What is a waiver in insurance?

If someone is the claimant in, say, a car accident, an insurance company would have the claimant sign a waiver as part of their settlement offer. This means that although the insurance company is paying a settlement to the claimant, the claimant can no longer pursue legal action against the insurance company.

When can you claim estoppel?

Within contract law , promissory estoppel refers to the doctrine that a party may recover on the basis of a promise made when the party's reliance on that promise was reasonable , and the party attempting to recover detrimentally relied on the promise.

What is the difference between waiver and estoppel insurance?

Thus, while waiver requires only proof of an express or implied waiver by a party of a right contained in the policy, estoppel requires the counterparty to also prove his or her reasonable and detrimental reliance on the first party's promise or representation. b. Equitable and promissory estoppel.

Can I still sue if I signed a release?

If an employee was terminated for reasons that violate California public policy—such as whistleblowing, reporting illegal activity, or refusing to engage in unlawful conduct—a wrongful termination claim may still be valid, regardless of the release agreement.

What makes an insurance contract legally binding?

In general, an insurance contract must meet four conditions in order to be legally valid: it must be for a legal purpose; the parties must have a legal capacity to contract; there must be evidence of a meeting of minds between the insurer and the insured; and there must be a payment or consideration.

What are the remedies for estoppel?

Remedies. The courts can order a range of remedies on the basis of equitable estoppel. Typically, the relief is either a fulfilment of the plaintiff's expectation or sufficient damages to compensate for any loss incurred as a result of the expectation.

What is waiver by estoppel?

Waiver by estoppel

a “clear or unequivocal statement, or alternatively clear conduct which objectively assessed indicates an intention or promise to give up, or not to enforce a right” an intention by the promisor that the promisee will rely on the statement or conduct, and for the promise in fact so to rely.

What three conditions must be met before the principle of promissory estoppel can be applied?

The doctrine of promissory estoppel is invoked in the interests of justice when three conditions are met: (1) the promise is one that the promisor should reasonably expect to induce the promisee to take action or forbear from taking action of a definite and substantial character; (2) the action or forbearance is taken; ...

What is an example of estoppel insurance?

For example, an insurer that has repeatedly accepted late premium payments from an insured may be estopped from later canceling the policy on the basis of nonpayment because the insured has been reasonably led to believe that late payments are acceptable.

What is the purpose of an estoppel?

In other words, an estoppel prohibits someone from taking a position that is contrary to what they have previously stated. When it comes to commercial real estate, the tenant estoppel is a document signed by a tenant that verifies the terms, conditions, and status of the lease they have signed off on.

How do you prove estoppel?

To establish an equitable estoppel, it is necessary for the plaintiff to prove that 1) the plaintiff assumed that a particular legal relationship would exist between them (and in the latter case) that the defendant would not be free to withdraw from that expected legal relationship; 2) the defendant has induced the ...