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  • Family of Las Vegas man denied cancer treatment awarded  $200M verdict in insurance bad faith lawsuit
    May-11-22 Las Vegas, NV (April 26, 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, th...
  • Unum Group Agrees to Settle Unum Lawsuit for $46 Million
    Mar-21-16 Los Angeles, CA: The insurance provider known in recent years as Unum Group has struggled beneath a black cloud of controversy amidst accusations of wrongdoing and bad faith insurance. While the insurer has undertaken various efforts to distance itself from a reputation that has dogged Unum insurance for some time, continuing Unum lawsuits appear to su...
  • Attorney Richard B. Specter on Insurance Bad Faith
    Apr-25-08 Irvine, CA: Richard B. Specter of Irvine, California, had recently completed post-trial motion hearings in a successful insurance bad faith case against National Union Fire Insurance Company when LawyersandSettlements interviewed him, resulting in a $35.6 million award. LawyersandSettlements: What were the details of this case? Richard B. Specter (...
  • Getting Totaled by State Farm
    Mar-7-08 Redlands, CA Over the past several years, State Farm Insurance has taken public steps to shine up its image of fair dealings with its policyholders. Yet it revealed quite a darker face to Rachel when she tried to obtain a State Farm totaled vehicle title for an unfit car. "In 2003 I had an accident," say Rachel, "and reported it to State Farm. My ag...
  • Most Denied Disability Insurance Claimants Win, but Not All Do
    Jun-30-14 Los Angeles, CA It’s a proven fact that in most cases, disability insurance claims are almost always denied on the first try, often denied on the second attempt, but more often than not accepted and approved on the third attempt, on appeal. It’s the way the insurance industry appears to prefer to work. However, in spite of California Insuranc...
  • Unum and Its Internal Appeals Process
    Jun-3-14 Dallas, TX Lydia was diagnosed with fibromyalgia and applied for long-term disability benefits through Unum, or Unum Provident , her health insurance provider. She received benefits for a year before Unum abruptly cut her off, without warning. “My Unum representative told me that, according to Unum’s policy, they only cover one year for a...
  • Qui Tam Whistleblower - Government Fraud - Qui Tam Lawsuit
    Qui tam is a law passed by Congress that allows a private individual with knowledge of fraud committed against the federal government to act as a government whistleblower and bring about a qui tam lawsuit on behalf of the US. Any situation where a company or individual has defrauded the government comes under the False Claims Act, including Medicare...
  • Qui Tam FAQ
    Qui Tam FAQ...
  • Unum Group Faces Another Lawsuit
    Apr-5-07 Martinsburg, WV: Yet another lawsuit has been filed against Unum Group (formerly UnumProvident) claiming that the insurance company breached its contract with a policyholder and violated the Unfair Claims Settlement Practices Act of West Virginia. According to the lawsuit, the plaintiff waited almost a year between the time her husband died and the ti...
  • Intragastric Balloon Surgery Lawsuits Legal News and Lawsuit Information
    Intragastric balloon lawsuits are now taking shape after a dozen deaths were attributed to the recently-approved form of weight-loss surgery. As of June 2018, the Food and Drug Administration linked 12 deaths to the implantation of what appears to be a defective medical device. The most recent reports implicate the Orbera Intragastric Balloon, manufactur...
  • hazard insurance
    If you have a mortgage on your home, your bank may be charging you for hazard insurance that you already have and do not need. Some banks are deducting money from escrow accounts to pay for duplicate insurance on their customers' homes. They do this without properly checking the records of insurance that the homeowners have given them. Many homeowners do...
  • Unum: You Win Some, You Lose Some
    Mar-26-18 Grand Rapids, MI: While you rarely hear about it, the fact remains that in some cases an insurance company that denies an insured short, or long-term disability benefits sometimes gets it right. To wit, a federal magistrate in Michigan earlier this month determined that Unum Life Insurance Company of America was within its rights to discontinue disability...
  • Denied Disability Roller Coaster
    Oct-16-13 San Diego, CA Rebecca was first approved then denied disability by Cigna. She had all but given up hope of getting any benefits until earlier this year. “I heard that CIGNA is settling some claims that were previously denied,” she says. “I’m wondering if they will reopen my wrongly denied disability claim.” Cigna’s s...
  • Emergency Room Charges Turned Her Stomach
    Mar-13-12 Henderson, NV A Nevada woman who made her way to the emergency room of the Siena Campus of St. Rose Dominican Hospital in Henderson for suspected food poisoning was appalled with emergency room charges exceeding $10,000. According to the Las Vegas Review-Journal (3/12/12), a CT scan procedure represented the lion's share of that emergency room cost...
  • Pregnant Woman’s Insurance Denial a Lesson
    Jan-1-15 Maui, HI The tale of a Canadian woman who gave birth in Hawaii and had her insurance claim denied is a cautionary tale for all insurance policyholders. Despite the woman and her husband thinking they were following the rules and properly covered, they reportedly wound up with a bill of $950,000, a bill their insurance company - Blue Cross - has so far...
  • In a Car Accident, the Victim is often Innocent
    Mar-24-06 In December 2004, Shannon Bamsey from Newport Beach, California was rear-ended as she came to a stop at a red light. The woman who hit her didn't apologize and even worse, the woman's insurance company offered to pay only a portion of Bamsey's medical bills. "She slammed into me at 30 mph and crushed the back end of my new Dodge Neon. The force from it...
  • California Issues Insurance Directive on Discrimination
    Apr-17-13 Sacramento, CA California’s Department of Managed Health Care has issued a directive to ensure there are no violations of California Insurance Law when it comes to denying insurance to transgendered people. The directive is aimed at guaranteeing a person has access to health care regardless of his or her gender identity or expression. Discriminat...
  • State Farm Insurance refuses Coverage
    Feb-19-06 Steve Haase, from Bloomington, Minnesota was badly injured in a car accident May, 2004. State Farm insurance compensated him but now considers Haase "high risk" and refuses to insure his home. Because of his no-fault insurance policy with State Farm, Haase was paid out a total of $20,000, which exhausted his benefits. But what infuriates Haase is that he...
  • California Labor Law and COVID-19: Top questions asked by California Workers
    Mar-17-20 San Francisco, CA Putting into place public health measures to deal with COVID-19 also raises a number of California labor law issues. Employers are scrambling to navigate a new workplace, which could mean their employees working from home. And employees are anxious to understand their legal rights. Here are the top FAQ’s asked by employees. 1...
  • Suboxone Tooth Decay Legal News and Lawsuit Information
    Suboxone is prescribed to treat opioid use disorder in conjunction with other treatments. Patients, however, have experienced dental problems during or after taking the drug and they are filing lawsuits against Indivior, the manufacturer. Indivior has profited from the opioid crisis but by doing so it created medical, financial and emotional problems for Sub...
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