Insurance Denials/Bad Faith Information, News & Blogs
California Insurance Law Firm Files Class Action Lawsuit Against Health Insurer for Coverage Denial of Medical Treatment
Gianelli & Morris is suing Blue Shield of California, alleging bad faith and statutory violations based on the insurer’s blanket denials of coverage for the use of the Coflex medical device to treat lumbar spinal stenosis On May 5, 2020, the California insurance law firm Gianelli & Morris filed an individual and class action… Read More »
What to Do if My Disability Insurance Claim Has Been Denied?
Every year, millions of Americans apply for benefits from the disability insurance policy they purchased. More than half of these claims are denied by insurance companies. If you have filed for short-term or long-term disability benefits due to an injury or illness and your application was rejected, what are your options? What should you… Read More »
ERISA Claims vs. Bad Faith Insurance Cases
Insurance policyholders have rights. Policyholders have the right to hold insurance companies to their obligations as dictated by the terms of a policy as well as federal and state laws. When an insurance company wrongfully denies a claim or engages in other bad faith behavior, the policyholder has the right to dispute that decision… Read More »
Life Insurance Contestability Period
Life insurance policies, like health insurance policies, are only effective if an insurance provider pays out on a claim. Insurance providers are constantly on the lookout for any reason to deny a payout in order to protect their own finances. The life insurance “contestability period” is the window in which an insurance company can… Read More »
Things to Include in an Insurance Appeal Letter
If your health insurance provider denies you coverage for a medical claim, you do not simply have to accept their decision. Insurers deny coverage for a variety of reasons, and in your case, their reasoning may be wrong. They may have made a mistake, they may be wrong in their interpretation of your policy… Read More »
Appeal Letter for Health Insurance Denial
Insurance companies make a number of excuses when they deny coverage –they’ll say the procedure is not medically necessary, the procedure is experimental or is not generally accepted in the medical community, there is a cheaper, better alternative, etc.–but what insurance companies really care about is their bottom line. When they deny you coverage… Read More »
What to Do if Insurance Denies Surgery
Insurance companies are worried first and foremost about their bottom line. They will look for any reason to save money, even if that means denying coverage for medical procedures approved and recommended by your doctor. What can you do if your insurance company denies coverage for a surgery recommended by your doctor? Continue reading… Read More »
How Long Does an Insurance Appeal Take?
If you are hurt and you file a claim with your health insurance company, they must respond within a reasonable amount of time under California law. The law requires them to evaluate your claim appropriately, and if they choose to limit or deny your coverage, they must provide you with an explanation as to… Read More »
What is a Material Misrepresentation by an Insurance Company?
We’ve all heard the term “insurance fraud.” Insurance fraud happens when you lie to an insurance company to collect undeserved benefits, such as by burning down your own property and claiming someone else did it so that you can collect a payout. Well, insurance companies are required by law and contract to be just… Read More »
How Long Does the Insurance Company Have to Respond to an Appeal?
It can feel as though health insurers hold all the cards when you’re fighting to have a claim approved, and receiving a denial of coverage for the medical care you need can be frustrating and scary. Every California health insurance carrier has its own procedure that policyholders must follow to appeal denied claims. However,… Read More »
