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Proximate Cause — Insurance Claims Definition

General

The dominant or legally recognized cause that sets a chain of events in motion and is sufficiently related to the resulting loss.

Proximate cause analysis determines whether a claimed peril is the legal cause of loss for coverage purposes. It is not always the first or last event in time — it is the cause that is direct, natural, and unbroken in bringing about the harm.

It interacts with concurrent causation and policy exclusions; some states use efficient proximate cause tests when multiple perils combine.

Examples

Lightning strikes a tree that falls on a house — lightning may be the proximate cause of the roof damage even though the immediate impact was the tree.

Common Mistakes

Confusing proximate cause with but-for causation in complex losses; remote or intervening criminal acts may break the chain depending on facts and law.

Related Terms