State guide Hawaii

Insurance Claims in Hawaii: what needs order before action, claim diary gaps, and appraisal-route timing

Useful insurance claims guidance for Hawaii focused on claim diary gaps, coverage disputes, records that matter, and how to avoid avoidable early damage.

Reviewed January 2026 2 min read Official-source grounded Ver en Espanol En Español
Key Takeaways
  • Hawaii bad faith LANDMARK: Best Place, Inc. v. Penn America Insurance Co., 82 Haw. 120 (1996): Hawaii Supreme Court recognized FIRST-PARTY BAD FAITH TORT cause of action (insurer's duty of good faith to own policyholder = implied duty enforceable in TORT, not just contract). Unreasonable withholding/delaying valid 1st-party claim = liability for policy benefits + consequential damages + emotional distress + attorney fees + punitive damages (egregious cases with conscious deliberate disregard). Aligns HI with WV (Hayseeds) as most plaintiff-favorable bad faith jurisdictions. Third-party bad faith: HI courts also recognize 3rd-party bad faith (insurer's failure to settle within policy limits exposes insured to excess judgment → insured/assignee can bring bad faith claim). Hawaii Insurance Division (335 Merchant Street, Suite 1500, Honolulu; part of DCCA): licenses carriers + investigates consumer complaints + enforces HRS Chapter 431 (Hawaii Insurance Code) + §§ 431:13-101 (Unfair Trade Practices in Insurance) — prohibits failure to acknowledge communications, failure to promptly investigate, refusal to pay without reasonable investigation, lack of good faith settlement attempts.
  • Natural peril coverage gaps: LAVA FLOW — standard HO EXCLUDES "earth movement" → 2018 Kīlauea LERZ eruption (Puna/Leilani Estates/Lanipuna Gardens/Green Mountain; May-August 2018; 700+ homes destroyed under 8-12ft solidified lava) = coverage DENIED. USGS Lava Hazard Zones 1-2 (near active rift zones): property insurance near-impossible to obtain/extremely expensive. FEMA individual assistance ≠ replace homes. Volcanic activity endorsements (rare; expensive; specialty carriers) = ONLY coverage for lava flow. HURRICANE: Hurricane Iniki (September 11, 1992; Category 4; 145mph sustained/175mph gusts; Kaua'i devastated; ~$3B insured losses; carriers withdrew from HI market afterward); standard HO covers wind but HURRICANE DEDUCTIBLE (separate deductible; often 2%-5% of insured dwelling value; activates when named hurricane is within defined radius). TSUNAMI/FLOOD: standard HO EXCLUDES flood and tidal wave; NFIP covers tsunami flooding IF in participating NFIP community AND SFHA-mapped; PTWC ('Ewa Beach, O'ahu) issues tsunami warnings; Hilo Bay + low Waikīkī = tsunami inundation zones. EARTHQUAKE: standard HO excludes; private endorsements available but expensive in volcanic seismic zones (2006 Kīholo Bay M6.7; 1975 Kalapana M7.2).
  • Hawaii auto insurance: mandatory PIP $10K minimum (HRS § 431:10C-103); 10K/20K/10K minimum liability; UM must be offered (insurable may waive); PIP subrogation subject to "made whole" doctrine. Health insurance: PHCA mandatory employer coverage (20hr+/week employees); ACA marketplace via healthcare.gov (NOT state exchange); Med-QUEST Medicaid = HMSA (dominant ~50% market share; BCBS affiliate) + Kaiser Permanente Hawaii (~25% share) + United Healthcare. TRICARE (Prime/Select/For Life) for military/dependents; Tripler AMC primary direct-care facility. Workers' comp (HRS Chapter 386): DLIR Disability Compensation Division; NO exclusive remedy bar against WILLFUL employer injury (civil lawsuit available in addition to WC). Title insurance for leasehold: ALTA policies must cover ground lease validity + absence of prior liens on leasehold interest + specific lease terms + transfer restrictions; ceded land/OHA trust restrictions require specific endorsements. HMSA bad faith: most frequent HI health insurance bad faith defendant; coverage denials for expensive procedures/out-of-network Neighbor Island care → Best Place v. Penn America doctrine applies.
Key Numbers — Hawaii All 50 states →
Filing Deadline 2 years
Fault Rule Pure Comparative
Insurance System No-Fault
Key Statute Haw. Rev. Stat. § 657-7
Insurance Claims guide for Hawaii
Photo by Kindel Media on Pexels

Hawaii insurance law is shaped by the state's island geography and the distinctive set of natural perils that define the Pacific archipelago: active volcanism, Pacific hurricane risk, ocean tsunami hazard, and flooding from Kona storms. The standard homeowners insurance policy exclusions for "earth movement" and "flood" (broadly defined to include tidal waves) eliminate coverage for two of the most catastrophic risks Hawaii homeowners face — lava flow from the ongoing Kīlauea volcanic activity (which destroyed more than 700 homes during the 2018 Lower East Rift Zone eruption in Puna, Hawai'i County) and tsunami inundation (a recurring Pacific Basin hazard; the last major tsunami to devastate Hilo, on the Big Island, was the 1960 Chilean earthquake-generated wave that killed 61 people and destroyed the Waiakea town waterfront). The result is that financially responsible Hawaii homeownership requires understanding not just the standard homeowners policy, but also the separate flood, hurricane, earthquake, and lava coverages available — or not available — in the Hawaiian market.

The landmark Hawaii bad faith insurance case is Best Place, Inc. v. Penn America Insurance Co., 82 Haw. 120 (1996), in which the Hawaii Supreme Court recognized a first-party bad faith tort cause of action — holding that an insurer's duty to act in good faith toward its own policyholder is enforceable in tort, not just contract, allowing the insured to recover damages beyond the policy benefits when the insurer unreasonably denies or delays a valid claim. The Hawaii Insurance Division (part of the Department of Commerce and Consumer Affairs/DCCA, 335 Merchant Street, Honolulu) regulates all insurance business in Hawaii — licensing carriers, investigating consumer complaints, and enforcing the Hawaii Insurance Code (HRS Chapter 431). Hurricane Iniki (September 11, 1992; Category 4; the most powerful hurricane to strike Hawaii in recorded history; Kaua'i was particularly devastated) generated years of insurance litigation and shaped Hawaii's approach to catastrophic property insurance coverage.

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