Insurance Denials/Bad Faith Information, News & Blogs
Class Action Lawsuit Filed Against Insurance Company for the Alleged Wrongful Denial of Medical Coverage
The law firm of Gianelli & Morris has filed individual and class action complaints against UnitedHealthcare of California alleging the wrongful denial of coverage for the Coflex medical device to treat the plaintiffs’ spinal stenosis and back pain. On November 4, 2020, the California insurance law firm Gianelli & Morris filed individual and class… Read More »
How to Fight a Medical Necessity Bad Faith Claim With a Non-ERISA Policy
Sometimes it seems that health insurance companies care first and foremost about their bottom-line and are always on the lookout for any reason to deny a claim for coverage. One of the more common reasons for denial of a specific claim is “lack of medical necessity.” Continue reading to learn how to contest a… Read More »
Does Life Insurance Cover Suicide?
We’ve all seen it on television or otherwise heard about it in pop culture: A person desperate to help their family takes out a large life insurance policy and then commits suicide in order to trigger payment, but the claim is denied as fraudulent. Or a person commits suicide and the family, already devastated,… Read More »
How Can a Life Insurance Company Deny Your Claim due to Lapse of Coverage?
Life insurance companies, like all insurance providers, are constantly looking for any reason to limit a payout or deny a claim. If they cannot find a justification under the language of the policy to deny a claim, they might look for a reason to invalidate the policy itself. They may point to the life… Read More »
How Life Insurance Companies Deny a Claim Using Material Misrepresentation
Life insurance companies will grasp at any reason they can find to deny a payout under one of their policies. If they can find a coverage exclusion, they will use it. If there is no exclusion, the insurance provider may utilize other strategies to avoid paying out on a claim, including by claiming that… Read More »
What Should I Do if My Insurance Company Rescinds My Policy?
Insurance companies have a deep bag of tricks to pull from when trying to get out of paying out on a claim. In some instances, rather than deny a claim on the merits, the company may inform policyholders or beneficiaries that the policy itself has been “rescinded.” Like a claim denial, a policy rescission… Read More »
Can I Sue my Health Insurance Company for Pain and Suffering?
When your health insurance company wrongfully denies coverage, the denial hurts more than just your wallet. You are effectively prevented from getting the treatment that you need for your illness or injury. You could end up having to pay out of pocket, or you may be forced to forego treatment entirely. If your claim… Read More »
Top Reasons a Disability Claim is Denied
Whether you are seeking short-term disability (STD) or long-term disability (LTD) insurance coverage, your insurance provider is obligated to pay out on proper claims that fall within the policy’s coverage. If your disability claim is rejected, you have the right to know why, and you have the right to challenge their decision. Below, our… Read More »
Are Accidental Death Policies the Same as Life Insurance?
Insurance is a complicated field, not the least because the insurance companies work so hard to make it confusing. The less consumers know about the industry, the more power insurers have in issuing policies and recommendations, and in making determinations about coverage. Many of the different types of insurance seem to overlap. One question… Read More »
Why Do Insurance Companies Deny Claims
Insurance is a business. Regardless of whatever your insurance provider claims in their commercials or marketing materials, their number one priority is their bottom line. Unfortunately, that means that insurance companies are often looking for any reason they can find to deny a claim. Providers may have legitimate reasons to deny health insurance claims,… Read More »
