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  • 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...
  • 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...
  • Anthem Blue Cross Faces Another California Insurance Lawsuit
    Aug-28-14 Los Angeles, CA Another California insurance lawsuit has been filed against Anthem Blue Cross, alleging the company changed policyholders’ insurance plans without telling them, resulting in unforeseen medical bills. The lawsuit, filed in August, follows a California insurance lawsuit filed in July that made similar allegations against the insuran...
  • 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...
  • 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...
  • To Overturn Denied Disability Insurance, Vigilance Is Key
    May-27-14 Los Angeles, CA It seems apparent that the primary modus operandi for most insurance carriers is to deny insurance claims as a default, expecting that policyholders will appeal the denial and fight for their benefits. An earlier article by LawyersandSettlements.com’s Heidi Turner noted that many policyholders tend to throw in the towel at the fir...
  • 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...
  • 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...
  • 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...
  • 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...
  • 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...
  • 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...
  • Mother with Post-Partum Depression Denied Disability Benefits by Hartford
    Oct-10-18 Chicago, IL: Even though Angela tried to return to work after suffering from postpartum depression, her boss advised that she apply for long term disability with Hartford Health Insurance. But Hartford didn’t agree with Angela’s boss. “I was pregnant and my job was very stressful at the time. I talked with my supervisors and they said I should a...
  • 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...
  • 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...
  • Unum Insurance, It Appears, Will Do Anything to Avoid Paying a Claim
    May-6-12 Chattanooga, TN One thing about the insurance industry: it is never boring. Witness allegations of claimants trying to pull the wool over Unum's eyes, as evidenced by one Unum lawsuit filed by a claimant attempting to extract benefits through alleged misrepresentation. It happens. But misrepresentation can also stem from agents of Unum…. Rega...
  • 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...
  • 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...
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