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Bad Faith Insurance
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Bad Faith Insurance covers a wide range of practices undertaken by companies in the insurance industry to prevent you from obtaining money for valid insurance claims. A bad faith insurance claim, for example, may involve complaints that the insurance company repeatedly lost paperwork, sent you for unnecessary doctor's appointments or ignored information from your doctor indicating you have a valid medical problem. A bad faith insurance company will often drag out the claims process in an attempt to avoid paying out a claim, which often puts customers in a position of having to cover expenses while waiting for a claim to be approved.
When you purchase insurance, you and the insurance company agree on the terms and conditions that specify the coverage or compensation payable to you in the event that you suffer a loss or injury. Insurance can cover your medical bills, property bills and/or vehicle bills. Unfortunately, some bad faith insurance companies use a variety of tactics to delay or avoid paying out a valid claim.
This can put you in a terrible situation. For example, if you have a medical claim that the insurance company delays paying, you may be put in the position of covering all medical costs on your own—and dealing with the financial burden and possible debt—or eliminating vital medical help that you cannot afford, putting your health in jeopardy. The consequences of bad faith insurance can be far-reaching, affect your finances, your quality of life and even your health.
Some bad faith insurance tactics may simply seem inconvenient at first, until a pattern appears. Customers report that insurance companies will repeatedly lose or misplace important documents, requiring them to fill out the same paperwork over and over. They may simply deny a claim at first, hoping that the customer will not appeal the denial. Or they may put a limitation on the time allowed for a claim, and then delay awarding the claim until that time has passed.
Among bad faith insurance tactics:
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Bad Faith Insurance Company
This can put you in a terrible situation. For example, if you have a medical claim that the insurance company delays paying, you may be put in the position of covering all medical costs on your own—and dealing with the financial burden and possible debt—or eliminating vital medical help that you cannot afford, putting your health in jeopardy. The consequences of bad faith insurance can be far-reaching, affect your finances, your quality of life and even your health.
Bad Faith Insurance Tactics
Among bad faith insurance tactics:
- Failing to pay a claim in a timely manner;
- Offering an amount below what the claimant is entitled to;
- Failing to defend a policyholder against a third-party claim;
- Using a policyholder's previous claims as grounds to deny a new claim;
- Failing to conduct a reasonable and full investigation of the claim;
- Misrepresenting important facts or insurance policy provisions as they relate to coverage;
- Misuse of claimants' medical records;
- Requiring excessive paperwork;
- Canceling a policy after a claim is made;
- Purposely targeting high-cost claims for denials; and
- Ignoring expert opinion in cases where that opinion would result in a claim being paid out (such as finding that a death was suicide when a medical examiner has ruled it accidental);
Bad Faith Insurance Legal Help
If you have been denied a legitimate insurance claim, please click the link below to send your story to a lawyer who will evaluate your claim at no cost or obligation.Last updated on
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BAD FAITH INSURANCE LEGAL ARTICLES AND INTERVIEWS
Is Tampa's population growth causing dangerous roads?
Family of Las Vegas man denied cancer treatment awarded $200M verdict in insurance bad faith lawsuit
New York Insurance Bill Addresses Bad Faith Insurance Practices
October 7, 2022
Florida is a prime destination not only for occasional vacationers, but also for people looking to settle down. With its warm climate, sunny skies, endless beaches and tourist attractions, there are so many reasons why people are choosing to call Florida their home. Florida has a population of 20.6 million, making it the third most populated state in the United States. This number does not account for the millions of visitors who descend upon Florida each year. READ MORE
Family of Las Vegas man denied cancer treatment awarded $200M verdict in insurance bad faith lawsuit
May 11, 2022
A jury awarded $40 million in compensatory damages and $160 million in punitive damages to the family of a Las Vegas man who died after being wrongfully denied a specific type of cancer treatment. Sierra Health and Life, a UnitedHealthCare Company, denied Bill Eskew’s claim for proton beam therapy (PBT). Sandy Eskew, the widow and on behalf of Bill Eskew’ estate, brought a lawsuit against Sierra Health and Life. After a 13-day trial, the jury found Sierra Health and Life had breached its duty of good faith and fair dealing also known as “insurance bad faith.” READ MORE
New York Insurance Bill Addresses Bad Faith Insurance Practices
May 26, 2021
On May 18, New York Senate Bill 6813 (S6813) was referred to the Senate Insurance Committee. If enacted into law, it would add a new Section 2601-a to the New York Insurance law. Proponents of the legislation see an opportunity to address the problem of insurance companies’ bad faith insurance claim practices. Detractors predict the opening of the proverbial floodgates to insurance lawsuits. Similar legislation has died in committee before. READ MORE
BAD FAITH INSURANCE BLOG
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READER COMMENTS
Linda
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Ali
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Paula Mathis
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has denied Pradaxa 150 mg for over TWO
years. Humana verified that there is no
replacement, that I haven’t tried (all caused
adverse affects. My Cardiologist office sent
Validated paperwork stating all“approved
medications” caused severe side effects
and I would die without Pradaxa. This was
also denied. I have no choice, but to
Spend $100 a month out of my under
$1200 monthly Medicare. (Poverty Range)
janis talebi talebizadeh
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Alicia Pena
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Anonymous
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Dr. went on vacation. Opiate derivatives (pills) ran out. Pain & crashed. Called for help and was told: "Sorry your insurance doesn't pay their bills." I state: I have money! I'll pay. Answer was: "I am sorry, because of the contractual agreement we have with your insurance co. we can't take your money.
I lost my mind; the bad, bad, guys got away. Then things got much worse.
Washington
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Georgia
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I applied for short-term disability benefits in at the end of March 2007 due to a condition of scoliosis and late term pregnancy. My doctor advised that I not be on my feet for more than 30 minutes at a time. I work in sales and 90% of my job is done standing and/or walking. After returning to work and informing my manager of the doctor's decision, and I was told to leave work and apply for STD. After five months of calling, faxing, stressing, crying, being given false hope, and maxing credit cards to make ends meet, my STD was denied. MetLife's hired doctor (who never examined or even talking to me) decided my constant and severe pain was not serious enough to warrant my absence from work. I was denied any pre-partum and post-partum pay.
Anonymous
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They decided to upgrade to first class from business class at the last minute. This left me on the losing end, and I was forced to have to drive 200 miles round trip.
Anyway, on the way back I was hit by a careless drunk driver. My car was utterly destroyed, so to speak. I filed an insurance claim, after the police gave me his insurance information. The drunk driver was sent to alchohol rehab, and hopefully he will be able to stay sober after he gets out.
I submitted the insurance claim to my car insurance company. They tried to say that I don't have coverage for getting hit by another car. I pleaded with them that it was his fault, and that his insurance should be held liable. They persisted in their denial of my claim.
I decided to challenge the denial in court. I luckily have a cousin who is a lawyer. We took the insurance company to court, and the judge found them liable for having to see to it that the drunk driver's insurance company bought me a new car.
My old car had 60,000 miles on it, albeit I just bought it new three years ago.
I was actually bought an even better car model than the one that I originally had, as well.
My experience should prove that the
"little guy or person" can fight big insurance companies in court that deny legitimate claims, and win.