Nebraska: If an Adjuster Offers a Full-and-Final Settlement and You Still Need Treatment

The information on this site is for general informational purposes only, may be outdated, and is not legal advice; do not rely on it without consulting your own attorney. See full disclaimer.

What to do if an insurance adjuster offers a full-and-final settlement but you still need more treatment

Short answer: A full-and-final settlement usually requires you to sign a release that gives up future claims for more medical care related to the incident. Before you sign, get your medical situation evaluated, preserve records, ask for specific language or exceptions, and consult an attorney. This is educational information only and not legal advice.

Detailed answer — how full-and-final settlements work in Nebraska

An insurer’s “full and final” offer typically comes with a release form. The release says the insurer pays the agreed sum and, in return, you give up any further claims for the same accident or event. Signing that release generally prevents you from asking the same insurer (or the responsible party) to pay for any future treatment, lost earnings, or other costs tied to the injury.

Key legal and practical points to understand:

  • A release usually closes the case. After you sign a comprehensive release, courts will usually treat the claim as finally resolved. That means future medical expenses for the same injury are typically not recoverable from the person or insurer you released.
  • Medical condition and future care matter. If you still need treatment, settling too early can leave you personally responsible for future medical bills. Before accepting a final offer, try to learn whether you’ve reached maximum medical improvement (MMI) and what future care is likely.
  • Insurance coverage and third-party issues. A full release may affect not only the at-fault insurer but also related claims — for example, uninsured/underinsured motorist coverage or subrogation rights by health insurers or Medicare. You might be responsible for satisfying health-insurer or government liens unless the release and settlement specifically address them.
  • Negotiation options exist. You can often negotiate settlement terms. Options include limited or partial releases (reserving future treatment claims), setting aside settlement funds for future care, structured payments, or language that carves out certain claims (for example, carve out pending future medical expenses or Social Security/Medicare issues).
  • Timing and statute of limitations. Nebraska law imposes time limits on when you can file a lawsuit for personal injury. If you reject a full-and-final offer and later decide to sue, you must comply with the applicable statute of limitations. If you accept the settlement, the release will likely block future lawsuits on that claim. For help locating the specific limitation that applies to your case, see the Nebraska Legislature’s statutes at https://nebraskalegislature.gov/laws/statutes.php and consult an attorney.
  • First-party vs. third-party claims. A full-and-final release of a third-party tortfeasor won’t automatically resolve your first-party benefits (for example, personal medical payments under your own policy) unless the release specifically says so. Make sure the wording matches what you intend to release.
  • Potential insurer bad-faith or improper tactics. If an insurer pressures you to sign before you’ve had reasonable time to evaluate your injuries or denies legitimate benefits, you may have remedies under Nebraska’s insurance laws or case law. For consumer guidance from the Nebraska Department of Insurance, see https://doi.nebraska.gov/consumer.

Typical steps to take when you receive a full-and-final offer

  1. Do not sign immediately. Ask for the release and settlement terms in writing. Read them carefully and do not sign on the spot or under pressure.
  2. Get a complete medical evaluation. Ask your treating doctor whether you have reached MMI, what future care is reasonably likely, what the estimated cost will be, and whether your current condition is permanent or likely to improve.
  3. Request a breakdown. Ask the insurer for an itemized explanation of how they calculated the offer (medical specials, future care, pain and suffering, lost wages, legal expenses, etc.).
  4. Check for liens and subrogation. Contact any health insurer, Medicare, or Medicaid that paid bills to learn whether they have a lien or reimbursement claim. Ask the adjuster whether the settlement will include money to satisfy those claims.
  5. Negotiate release language. Consider asking for a limited release, a holdback for future treatment, or explicit carve-outs for liens, future care, or pending claims.
  6. Consult an attorney before signing. An attorney who handles Nebraska personal-injury and insurance matters can review the release language, estimate future damages, and advise whether the settlement is fair. Many personal-injury attorneys offer free consultations and work on contingency.
  7. Preserve evidence and records. Keep all medical records, bills, repair invoices, photos, and correspondence with the insurer. These documents affect value and are necessary if you later reopen the claim or file suit.

What happens if you signed already and still need more treatment?

If you already signed a full release and later need more treatment, your options are limited. Possible routes include:

  • Check the release carefully. Some releases include narrow language or allow reopening under specific conditions. If the release reserved rights or allowed for reopening, follow those procedures.
  • Negotiate a supplement with the insurer. Sometimes an insurer will agree to a small supplemental payment if new, reasonably necessary treatment develops. But insurers have no general obligation to reopen a released claim.
  • Consider contract or fraud challenges. In rare cases you may challenge a release as procured by fraud, duress, or mutual mistake — but these claims are fact-specific, time-sensitive, and difficult to win.
  • Explore other coverage. If another insurer (your own uninsured motorist, personal medical payments, or health insurer) might pay, contact them promptly.
  • Consult an attorney immediately. If you believe the release was invalid or you have new evidence, a lawyer can evaluate whether there is any legal basis to recover additional compensation in Nebraska.

Because consequences of signing are usually final, it’s usually better to delay signing until you reasonably understand your medical outlook and financial exposure.

Helpful Hints — how to protect your rights in Nebraska

  • Don’t sign a full-and-final release until you’ve talked to your treating doctor about future care.
  • Request the exact release language and time to review it (in writing).
  • Ask the insurer to put the offer in writing with a deadline and a numeric breakdown of how they calculated damages.
  • Check whether Medicare, Medicaid, or a private health insurer has a lien that must be paid from any recovery.
  • Negotiate carve-outs or a holdback for future medical costs if future care is likely.
  • Get an attorney review before signing. If you hire counsel after you sign, bring the release and all records immediately.
  • Keep copies of all medical bills, treatment notes, and correspondence—these create proof of the need for future care.
  • If the insurer pressures you or denies you reasonable time to decide, contact the Nebraska Department of Insurance consumer division at https://doi.nebraska.gov/consumer for guidance and to file a complaint.

Disclaimer: This article explains general principles of Nebraska law and common practices involving insurance settlements. It is educational only and does not constitute legal advice. For advice specific to your situation, consult a Nebraska-licensed attorney.

Helpful state resources: Nebraska Legislature statutes search: https://nebraskalegislature.gov/laws/statutes.php; Nebraska Department of Insurance consumer information: https://doi.nebraska.gov/consumer.

The information on this site is for general informational purposes only, may be outdated, and is not legal advice; do not rely on it without consulting your own attorney. See full disclaimer.