--- name: reservation-of-rights-letter source: https://app.decimal.ai/s/reservation-of-rights-letter@1/SKILL.md source_sha256: 030d9d6780eb --- # The letter that lets you defend now and still deny later A reservation-of-rights letter exists to solve one problem: the insurer must respond to a claim now — investigate it, maybe fund a defense — before it has decided whether the policy actually covers the loss. If it simply steps in and starts defending, the law can later hold it to that: by acting as if there is coverage, the insurer can *waive* its coverage defenses or be *estopped* from raising them. The reservation letter is what preserves the right to say no after saying "we'll look into it." Left to itself, the model writes the reassuring version: "Thank you for your claim. We have received your notice and our office is reviewing the matter. We will be in touch once our investigation is complete." That letter reserves nothing. It does not name a single provision that might bar coverage, never says that investigating is not an admission of coverage, reserves no right to deny or to withdraw, and asks for no cooperation. Sent while the insurer defends a lawsuit, it is close to the opposite of what a reservation letter is for — it reads as acceptance of the claim. The discipline: **a reservation-of-rights letter must specifically identify the coverage problem, expressly disclaim waiver, reserve the concrete remedies, and demand cooperation — every time, regardless of how routine the claim looks.** A general "we reserve all rights under the policy" with no provisions named is the classic defective reservation: courts have held that a boilerplate reservation that does not tell the insured *which* terms are at issue can fail to preserve the defense at all. Walk the elements below and confirm each is present — or, where a fact you need is missing (the exact exclusion, the policy number, the facts in dispute), say what is needed rather than inventing it. ## The elements every reservation letter must carry 1. **Acknowledge the claim without conceding coverage.** Confirm the claim or the tender of defense and state that the insurer is investigating and/or providing a defense **under a full reservation of rights** — and that it has **not** determined that the policy covers the loss. The opening must make clear that everything that follows is done without accepting the claim, so no later act can be read as a coverage decision. 2. **Cite the specific provisions at issue — and tie each to the facts.** Identify the actual policy language that may bar or limit coverage: the specific exclusion, condition, definition, or insuring-agreement requirement, by number or quoted text. For **each** one, state the fact that raises the question — e.g. "the policy excludes 'bodily injury expected or intended by the insured' (Exclusion a.), and the complaint alleges an intentional assault," or "coverage requires an 'occurrence,' and the damages alleged may be faulty workmanship rather than an accident." A provision named with no facts, or a coverage doubt described with no provision, is half a reservation. Vague phrases — "certain terms, conditions and exclusions" — are the defect to avoid. 3. **Non-waiver and no estoppel — state it expressly.** Say plainly that by investigating, defending, negotiating, or taking any other action, the insurer does **not** waive any rights, defenses, or policy terms, makes **no** admission of coverage or liability, and that nothing it does should be construed as a waiver or as creating an estoppel. Reserve **all** rights and defenses under the policy and at law — including any not specifically identified in the letter, because facts learned later may raise new coverage issues. 4. **Reserve the concrete remedies — not just "all rights."** Name what the insurer is reserving the right to do: to deny coverage in whole or in part; to withdraw from or decline the defense on reasonable notice if it concludes there is no coverage; to decline to indemnify any judgment or settlement; and, where the jurisdiction and policy allow, to **seek reimbursement** of defense costs and of any sums paid on claims later found not covered. Where the coverage dispute creates a conflict of interest, note the insured's right to independent (in some states, *Cumis*) counsel. Reserving abstractly ("we reserve our rights") without naming these remedies is weaker than reserving each one. 5. **Demand the insured's cooperation.** Invoke the policy's cooperation condition and ask for what the investigation needs: documents, a recorded or written statement, immediate forwarding of all suit papers and correspondence, and access to witnesses and information. State that the insured's cooperation is a condition of the policy and that failure to cooperate may itself jeopardize coverage. A reservation letter that never asks the insured to help forfeits the leverage the cooperation clause gives. 6. **Invite the insured's response and keep the file open.** Give the insured a way to respond — to provide facts, dispute the coverage position, or ask questions — and a contact. The letter reserves rights; it does not close the claim, and it should not read as a denial. ## The self-check before sending Read the draft against the six elements and, for each, name the sentence that carries it. Two failure modes to catch: - **The reassurance letter** — a courteous "we received your claim and are reviewing it" with none of the reservations. It reads fine and preserves nothing; sent while defending, it can waive the very defenses it was meant to protect. - **The boilerplate reservation** — "we reserve all rights and defenses under the policy" with no provision named and no facts tied to it. Specific enough to feel done, too vague to hold up. ## What to avoid - **Reserving "all rights" without naming the provisions.** The insured must be told *which* terms put coverage in doubt; a generic reservation can fail to preserve the defense. - **Letting the letter read as a denial** — or, at the other extreme, as an acceptance. It is neither: it defends/investigates *while* holding the coverage question open. - **Omitting the cooperation demand.** The cooperation clause is a live tool; a reservation that doesn't invoke it leaves value on the table. - **Fabricating the specifics.** If the exact exclusion, the policy number, the claim facts, or the jurisdiction's reimbursement rule aren't given, flag what is needed. Inventing an exclusion number, a policy provision, or a fact in dispute is worse than a marked blank — a wrong provision can mis-reserve the defense. ## Output Produce the reservation-of-rights letter in plain business language, addressed to the insured. Open by acknowledging the claim or defense under a reservation and stating that coverage has not been determined; identify each provision at issue tied to its fact; carry the express non-waiver / no-estoppel statement; reserve the concrete remedies (deny, withdraw, decline indemnity, seek reimbursement where applicable); demand cooperation under the policy; and invite a response. Where a needed fact — a provision number, the policy number, a disputed fact — is absent from what you were given, mark it as a blank to fill rather than guessing it.