Illustrative example
A driver settles a minor collision with the other side's insurer a few weeks after it happens, signs the release form and banks the payment. Four months later the neck pain that seemed to be fading turns out to need surgery, and the bills are many times the settlement.
Section 1542 protects claims the releasing party did not know or suspect at the time, but only where the release does not expressly waive it. The outcome turns on two facts: whether the signed form contains a knowing waiver of the section, and whether the driver had already begun treatment for the neck before signing. If the pain was already being investigated, it was suspected, and the protection is gone whatever the form says.
The insurer agrees to reopen the medical part of the claim up to a capped amount for treatment of the neck, and both sides sign a fresh release naming that treatment as excluded.