Can You Sue an Insurance Company If The Doctor is Not Covered for Medical Malpractice?

Mar 18, 2026 | Medical Malpractice

Medical malpractice is a complex legal matter. Most people associate it with suing a healthcare provider or medical facility; however, an injured party can sue an insurance company if the provider is not covered for medical malpractice under certain circumstances.

At the core of those lawsuits are an insurance company’s decisions; they may form the basis for legal action if they deprived the doctor of coverage for claims or put their interests above the provider’s. In those cases, a patient or patient’s family may be able to sue an insurance company and/or insurance broker in connection with a medical malpractice incident.

Understanding Medical Malpractice and Insurance Coverage

Medical malpractice is a specific type of personal injury claim brought by a patient when a healthcare provider’s actions, or their failure to act, deviate from (fall below) the accepted medical standards during patient care and directly cause harm to the patient. In a medical malpractice claim, negligence must be proven.

Medical practitioners and facilities carry medical malpractice insurance, a specialized type of personal injury insurance coverage that protects them against financial losses from claims of negligence. Brokers and insurers have an obligation to make certain coverage is continuous and deal in good faith to resolve claims against their insured.

When Insurance Companies and/or Brokers Are Liable for Provider’s Medical Errors

Insurance companies may be liable for medical errors if they:

  • Fail to place coverage with a proper carrier
  • Fail to make sure to have coverage both at the time of care and when reported
  • Fail to provide “prior act” of “claim tail” coverage
  • Fail to negotiate in good faith within their policy limits to avoid an “excess verdict”

If these actions result in avoidable harm, you may hold the insurer liable for medical errors due to negligence or bad faith insurance practices.

Compensation Available in Insurance-Related Malpractice Cases

As with any personal injury case, a lawsuit against an insurance company may provide compensation for:

  • Medical expenses resulting from the insurer’s delay or denial
  • Lost income or diminished earning capacity
  • Pain and suffering
  • Punitive damages
  • Emotional distress
  • In some instances, attorneys’ fees

The exact damages and associated compensation will depend on the specifics of your case and the insurer’s role in the harm.

Contact an Experienced Malpractice Attorney

It is important that you consult a personal injury attorney that is well-versed in specific state law concerning the ability to sue a health plan for damages, and the legal avenues available to injured partes. The malpractice attorneys at Britcher, Leone & Sergio have years of experience in a broad range of personal injury lawsuits and will guide you through the process.

Contact us to determine if you have grounds to sue the insurance company for medical malpractice.

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