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  • New Orleans Grocer Wins Appeal in Massive Bad Faith Insurance Claim
    Aug-18-09 New Orleans, LA A bad faith insurance case involving a grocer from New Orleans turned into a happy ending after an appeals court upheld a 2008 ruling that found in favour of the plaintiff in a lawsuit championed by an insurance bad faith attorney—as most successful lawsuits are, of course. In this case, a bad faith insurance claim was made by...
  • Farmers Insurance Claims Adjusters Reach $4.9 Million Settlement
    Sep-26-16 San Francisco, CA: Insurance adjusters for Farmers Insurance and their employer have reached a $4.9 million settlement in the California labor lawsuit filed against the insurance company. The California wage and hour lawsuit was filed by adjusters who alleged Farmers Insurance violated state and federal labor laws and owed workers for unpaid wages and...
  • Out of Network Medical Costs Can Add Up Quickly
    May-19-09 Oakland, CA When it comes to understanding health insurance, some of the most complex issues may revolve around out of network medical expenses. Out of network charges can be costly and they can be unexpected. That is because many people may not be entirely clear on what constitutes out of network medical care. Even within one facility, various procedure...
  • Patients Allegedly Over-Billed for Out Of Network Medical Care
    May-5-09 New York, NY It is probably little surprise to anybody who has dealt with health insurance companies that once again those companies are being accused of less than honest business practices. This time, those practices involve out of network physicians and the ways that insurance companies decide on reimbursement rates for out of network medical care. ...
  • Insurance Companies Forcing Policyholders to File Lawsuits to Obtain Benefits
    Jul-16-16 Dallas, TX: When you're dealing with a disability or serious illness and are unable to work, the last thing you want to do is fight with your insurance company over denied disability benefits . But that's exactly what denied disability lawsuits allege has happened, over and over again. Policyholders say their insurance claims are improperly denied or de...
  • AARP Insurance Deductibles "Outrageous"
    Dec-31-08 Schenectady, NY Sophia H (not her real name) is concerned about her AARP insurance. She does not have AARP health insurance, but she does have AARP Delta Dental insurance and feels that she pays too much in premiums for the amount of coverage she has. Sophia is one of many people who were surprised to learn that AARP made royalties off of insurance premi...
  • In Long Term Care Insurance, the Stonewall is Alive and Well
    Dec-29-08 New York, NY It was a few years ago that the New York Times reported unnecessary delays experienced by Conseco clients, and holders of their long-term health insurance products. The allegation was that Conseco was operating in bad faith by invoking delay tactics in an effort to stonewall policyholders making legitimate claims. As recently as this pas...
  • Long-Term Care Insurance: Read the Fine Print
    Dec-2-08 Kansas City, MI It is somewhat ironic that November was officially 'Long-Term Care Awareness Month' in the US, as observed by the American Association for Long Term Care Insurance . In fact, it should be noted that the US Congress passed a resolution just last year (H.R. 133, for sticklers of fact) in support of Long-Term Care Awareness Month, and it was...
  • Bad Faith Insurance: The Art of Unfairness
    Oct-2-08 New York, NY There's something fundamentally devious about the provider of a service that refuses to deliver what you've already paid for. Such is the basis for bad faith insurance , and a bad faith insurance claim brought against AXA Equitable Life Insurance Co. of New York by a former New York chiropractor. After being snubbed by his insurer, the man...
  • Denied California Unemployment Insurance? Call in the Experts…
    Mar-25-16 Los Angeles, CA: It was back in December of last year that an Antioch woman was sentenced to jail time and ordered to pay restitution for, amongst other things, applying for unemployment insurance in the name of six individuals. The woman worked as a human resources administrator for a private airline and had access to employee records. She presumably thou...
  • 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 Caught Can Reduce Emergency Room Overcharges
    May-14-20 San Francisco, CA Last year Zuckerberg San Francisco General Hospital reduced a patient’s emergency room charges from $20,243 bill down to $200—after the patient, Nina Dang, contacted the media. She broke her arm on the pavement in a bike accident. Can’t reach the media? Of course lawyers experienced with negotiating ER overcharges can...
  • 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...
  • Debunking Harvoni Pricing
    Nov-24-15 Washington, DC: While most Harvoni Denied Insurance Claim Lawsuits take issue with insurance companies that balk at approving Harvoni treatment for hepatitis C in spite of medical need, one must only look at the pricing strategy maintained by Harvoni manufacturer Gilead for clues that could lead to another smoking gun. According to the Los Angeles...
  • WA Workers' Compensation Lawsuit News & Legal Information
    Workers' Compensation is insurance coverage purchased by the employer/business that provides workers' benefits for job-related employee injuries. Washington law requires all employers to purchase Washington workers' compensation coverage (with a few exceptions). Each state has a different workers compensation program laws, with benefits covering medic...
  • FDA Sued by Health Advocates Over High Cost of Harvoni
    Jul-7-15 Hartford, CT It is difficult to know what is really motivating two public health groups bent on finding out why Harvoni, the blockbuster Hep C drug, is so darned expensive. But one can assume, given a rise in denied claims and corresponding Harvoni Denied Insurance Claim Lawsuits , that Treatment Action Group (TAG) and the Global Health Justice Partners...
  • 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...
  • Mental Health Patient Advocates Fight Wit Reversal
    Jul-18-22 San Francisco, CA In 2019, the Northern District of California’s decision in Wit v. United Behavioral Health was hailed as a big win for patients seeking coverage parity for mental health disorders. But on March 22, 2022 the Ninth Circuit panel reversed the District Court’s decision. The latest twist in this ERISA lawsuit  has throw...
  • 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...
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