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  • Plaintiff’s Home Warranty Insurance Win Overturned by State Supreme Court
    Aug-24-14 Philadelphia, PA For most homeowners purchasing a new structure from a builder, home warranty insurance is a must to protect the purchaser from defects in construction or structural integrity not readily apparent when the new owners take occupation. Various home warranty companies vend coverage that kicks in after the initial warranty period from the o...
  • California Denied Insurance: Appeals Frequently Successful
    May-13-14 Pasadena, CA When patients have their California insurance claim denied , they can often feel frustrated and believe there is no point in appealing the decision. When they do appeal their denied disability insurance and their appeal is denied, they may want to give up entirely, rather than undergoing another fight. But according to some reports, policyh...
  • 2005 Profitable Year for Whistleblowers
    Oct-1-06 Washington, DC The year 2005 was a very good year for Whistleblowers . According to a report by the Department of Health and Human Services, a grand total of $136,756,946 was awarded to Whistleblowers who filed q The Act requires that recoveries from health care investigations, including criminal fines, forfeitures, civil settlements and judgments, and...
  • Home Warranty Options Sometimes Limited, but Not Impossible
    May-19-14 Mesa, AZ Home warranties, whether they be the standard warranty offered by builders or an extended warranty available from a myriad of different companies, can be a complex animal. And aside from a situation affecting a Jefferson County homeowner, who found herself in the unique position of having to launch a lawsuit against her builder for constructin...
  • Experienced Birth Injury Attorneys Discuss Lawsuits and Settlements
    Sep-23-23 Los Angeles, CA The day your child is born should be one of the happiest days of your life. Sadly, medical complications may arise during childbirth that put your baby’s health at risk. When a doctor or a medical professional or medical facility fails to handle the situation properly, your infant may suffer injuries or illnesses resulting in permanen...
  • California PTSD Sufferer Denied Disability Insurance
    Feb-9-14 Sacramento, CA In spite of California Insurance Law and other federal statutes that dictate a constituent’s right to pursue disability insurance as required, most applicants will tell you that in the majority of cases an application for disability is routinely denied, and sometimes stamped denied ERISA disability a second time on appeal. Some...
  • The Conseco Trust and the Milliman Report
    Feb-21-09 Sandpoint, ID In Part 3 of a series of articles about Long Term Care Insurance (LTCI) and Conseco in particular, consultant Martin McBirney discusses the near term prospects for the block of policies Conseco recently placed into an independent trust and what can be done to help mitigate the damage that will soon take place. For the past 3 years, McBirn...
  • Denied Disability Insurance: The Devil in the Fine Print
    Dec-27-13 Sacramento, CA A denied disability insurance case provides some insight into the legal rules of conduct when it comes to contractual language and content. To that end, a recent denied claim serves as an example of the significance of what’s spelled out in the contract. According to a press release issued through Mondaq (12/18/13), the plaint...
  • Plaintiff Seeks Damages Under California Insurance Law
    Oct-29-13 Sacramento, CA When an individual has an identified disability and is denied disability insurance in spite of an obvious need and qualification, the denial is an affront to sound moral judgment as well as California Insurance Law . But now here is a case about an individual with a disability who worked for an insurance company and was allegedly refused...
  • Oregon LTD Insurance Woes Are a Day in the Life of Insurance Frustration
    Nov-19-14 Portland, OR Cigna has long been a provider of short- and long-term disability (LTD) coverage for consumers and employees in various states, including Oregon. However, Cigna is also not unlike other insurance providers who have been accused of Denied Disability Claims, regardless of legitimacy of the claim. Anyone having filed an Oregon Long term disabil...
  • How to Negotiate Negligence After Suffering a Personal Injury
    Aug-17-23 Islip, NY Living on Long Island in New York, your everyday actions are backed by the lapping surf of the Atlantic and iconic landmarks such as Jones Beach or Montauk Lighthouse. But you may have to defend your rights when a personal injury casts a shadow over this idyllic setting. These injuries often result from someone else's negligence , like an ir...
  • Is Unum Group in the Mining Business or Insurance Business?
    Jan-13-12 New Orleans, LA The insurance industry in general and Unum in particular appear to be more inclined toward the mining business, rather than the insurance business. Mining, as in mining the depths for reasons to deny or discontinue benefits to policyholders. Many a Unum lawsuit makes such an allegation, and there appears to be plenty of examples. Lin...
  • California Real Estate Fees May Have Involved Illegal Kickbacks
    Mar-23-13 San Diego, CA Buying, selling and refinancing a home is complex enough without adding in illegal real estate fees or kickbacks. But kickbacks are alleged to have occurred in some California real estate transactions, says Taras Kick, attorney at The Kick Law Firm, APC. Attorneys are now investigating a possible lawsuit against the companies involved in...
  • Can a TPA’s Exploitation of a Plan Sponsor’s Breach of ERISA Duty Make the TPA a Fiduciary?
    Jun-27-24 New York, NY On May 31, U.S. District Court Judge Katherine Polk Failla denied Teachers Insurance and Annuity Association of America’s (TIAA) motion for summary judgment in a lawsuit that accused the insurance giant of aggressive and misleading sales tactics. TIAA’s “fear selling” strategy was crafted to persuade pension plan part...
  • Transvaginal Mesh Lawsuit News and Legal Information
    Transvaginal mesh , also known as pelvic mesh or TVM bladder sling , has been implanted in tens of thousands of women to treat pelvic organ prolapse (POP) and stress urinary incontinence (SUI). Many of those women have suffered severe transvaginal mesh complications , resulting in more than 100,000 defective device lawsuits filed and possibly making t...
  • Transvaginal Mesh FAQ
    Transvaginal mesh and transvaginal sling are medical devices used to treat Pelvic Organ Prolapse (POP) and/or Stress Urinary Incontinence (SUI). They are surgically implanted to strengthen the internal organs and prevent POP and/or SUI. What is the issue with transvaginal meshes? Lawsuits filed against the companies that make transvaginal meshe...
  • MetLife Refuses to Disclose Background Claim Processing Principles
    Jun-28-18 Jacksonville, FL: On April, 20, 2018, the United States District Court for the Middle District of Florida denied a Metropolitan Life benefit claimant the right to see the company’s internal claim processing guidelines. Perera v. Metropolitan Life Insurance Company actually relates to death benefits, but it relies heavily on an earlier decision in a...
  • The Best Strategy for Dealing with Proof of Disability Letters
    Jun-7-17 Minneapolis, MN Individuals dealing with social security, workers compensation benefits , or short or long term disability claims are often faced with a flurry of forms. Answering an insurance company’s request for information in what is usually referred to as a Proof of Disability letter can be terrifying. There is every reason in the wo...
  • Oxford Insurance: Poor Decisions affect Patients' Health
    Nov-10-06 Oxford, MA: While other insurance companies are settling their lawsuits, Oxford Insurance is still in arbitration in a suit brought by a group of New Jersey doctors. Along with Oxford Insurance, Cigna Healthcare, United Healthcare, and Horizon Blue Cross Blue Shield were all named in the lawsuit which was filed in 2002 on behalf of at least 40,000 New...
  • Long Term Health Care Insurance: An Expert Consultant Weighs In: Part II
    Nov-21-08 Sandpoint, ID In Part 2 of a series of articles about Long Term Care Insurance (LTCI) and Conseco in particular, consultant Martin McBirney discusses the possible demise of LTCI. For the past 3 years, McBirney has focused on expert consulting work for plaintiff's attorneys regarding unfair claim denials and excessive rate increases. Long Term Care I...
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