News & Articles
What is the Statute of Limitations for a Bad Faith Claim against a California Insurer?
California residents who enter into a contract for health insurance have a right to expect that, if they pay all premiums and co-pays, their injuries, illnesses, and other medical needs will be covered by their insurer according to the terms of their coverage. If benefits are withheld without good reason, the insurer may face… Read More »
What are the Types of Damages for Insurance Bad Faith?
When a health insurance company wrongly denies your claim for benefits in California, you may have a right to file a claim for bad faith against your insurer. If successful, an insurance bad faith lawsuit will entitle you to receive compensation in the form of money damages. If you want to learn our other… Read More »
Bad Faith Rescission of a Health Insurance Policy
For the majority of the time that you maintain a health insurance policy, you are paying—or your employer is paying on your behalf—far more in premiums than you’re receiving in benefits. You pay these premiums so that you can rest assured that you’ll have coverage when you need it, such as when you’re injured… Read More »
How Do I Choose the Right Lawyer for My Bad Faith Claim?
If you believe that you’ve had an insurance claim denied wrongfully, you may have the right to file a lawsuit for money damages. These claims can be complex, involving not only contract laws and California laws governing health insurer conduct, but also medical research and best practices. Not every attorney has the skills and… Read More »
DMHC Consumer Complaints 2017 Annual Report Exposes Bad Faith Denials
The California Department of Managed Health Care (DMHC) is the regulatory office charged with overseeing the majority of health insurance coverage in the state. Health insurance policyholders can report disputes with their insurance provider to the DMHC, which will investigate those complaints, conduct independent medical reviews of denied claims, and carry out enforcement actions… Read More »
Insurers Deny Coverage for Excess Skin Removal Following Bariatric Surgery
As we have discussed time and again, insurers are always looking for reasons to deny coverage. Particularly where a procedure could possibly be defined as “cosmetic,” insurers will refuse coverage if they can find any justification to do so. But even so-called cosmetic issues can be disabling and disfiguring, and California law does not… Read More »
Elements of a Bad Faith Insurance Claim and What to Do About It
Insurance policyholders who are current on premiums and follow the rules have a legal right to receive coverage for claims included under the terms of their policy. If health insurers fail to provide payment for these covered claims, they’re not only breaching their contract and breaking the law, they’re potentially putting their policyholder’s life… Read More »
Insurance Companies Are Denying Coverage For Lipedema Treatments
Lipedema is a very common yet serious, painful, and crippling condition that affects nearly 11% of adult women worldwide. There are known treatments for lipedema, but insurance companies have taken strong stances against covering the cost of these cures for their paying policyholders. The dedicated and compassionate Los Angeles insurance bad faith attorneys at… Read More »
Gianelli & Morris Sues Anthem, Inc. over Denial of Insurance Coverage for Lipedema
On January 17, 2019, Gianelli & Morris, a Los Angeles insurance bad faith law firm, filed a complaint against Anthem, Inc. and its utilization management arm Anthem UM on behalf of Robin Goolsby, a patient diagnosed with Stage 3 advanced lipedema whose request for coverage for tumescent liposuction was denied. Anthem UM’s denial letter… Read More »
Insurance Denial of Reconstructive Surgery
Too often, reconstructive surgery is denied for insurance reimbursement because insurance companies deem the surgery cosmetic and not medically necessary. The insurance companies assert that a medical necessity requires the illness to cause a functional, medical impairment for the patient, and insurance benefits are not available for a procedure done primarily to improve appearance…. Read More »
