Insurance Denial & Bad Faith Blog
The latest legal cases, results and guides on insurance denials in Los Angeles and California.
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141–160 of 183 articles
What to Do When Health Insurance Won’t Pay
When your health insurance refuses to pay you, review your denial letter and policy, ask your agent for help, call your insurance company, and more.
What to Do if My Disability Insurance Claim Has Been Denied?
If your disability claim is denied, you will be given a denial letter which should provide you with the reasons. You have the right to appeal the denial.
ERISA Claims vs. Bad Faith Insurance Cases
California law applies to every insurance policy that is issued to a resident, except for policies contained in employee benefit plans subject to ERISA law.
Life Insurance Contestability Period
The life insurance contestable period is two years in CA. If someone signs a policy and passes within 2 years, the insurer has a right to investigate.
Things to Include in an Insurance Appeal Letter
If you appealing your denied health insurance claim, your letter should include a brief opening statement, a body (your argument against the denial), and supporting documentation.
Appeal Letter for Health Insurance Denial
Have you wrongfully been denied coverage from insurance? You deserve the right to fight back with an appeal letter. Read our tips for an effective letter.
What to Do if Insurance Denies Surgery
Has your insurance denied your surgery claim? You should start by making a few calls. First, to your doctor; then, your insurance company.
How Long Does an Insurance Appeal Take?
An insurance appeal can either take 30 days or 60 days, depending on whether you've sought treatment. Learn more about the time periods insurance companies must adhere by.
What is a Material Misrepresentation by an Insurance Company?
Material misrepresentation by an insurance company entails they misled you about your coverage policy - denying you after misrepresenting terms, provisions or requirements.
How Long Does the Insurance Company Have to Respond to an Appeal?
Deadlines for insurance companies are much stricter, leaving them 30 days to respond to an appeal. Learn more about universal deadlines and useful tips.
How to Appeal an Insurance Claim Denial
Every California health insurance policyholder has the right to appeal a denied claim. Read on to learn the steps to appeal a denied health insurance claim.
What Does California Law Require from a Health Insurance Grievance System?
A DHMC survey on Anthem reveals 10 of the 14 shortcomings in the manner they operated their customer grievance system. Learn more about the CA requirements
State Agency Finds Anthem Blue Cross Lacking in Significant Ways
California state agency review of Anthem Blue Cross service found the healthcare provider deficient in 14 ways. Find out what they are in our blog post.
Report Blasts Anthem for Denying ER Service and Treatment
The California Department of Managed Health Care (DHMC) published a report describing what they found with Anthem, laying out 14 deficiencies.
Why Claims Get Denied: Medical Necessity
Medical necessity denials are often just an insurance company strategy to get patients to give up their claims. Learn more about medical necessity denials.
Can You Sue Your Insurance Company for Taking Too Long?
Insurance providers are bound by state law to respond to your claim. The Code says insurance companies have to respond to claim with benefits within 15 days.
Insurers’ Duty to Investigate Claims Prior to Denial
Insurance companies must investigate coverage before denying it. If your insurance fails to conduct a thorough investigation, they can face legal action.
When Can a Health Insurer Cancel an Insurance Policy in California?
Compared to other forms of insurance, California imposes special restrictions on cancellation. After a policy has been issued, a health insurer can cancel a policy ONLY if the insurer can prove the insured has acted fraudulently.
Does Egan’s “managing agent” rule survive 40 years later?
Forty years ago, the California Supreme Court upheld a punitive-damage award against an insurer based on the acts of a claims adjuster in denying a single claim.
Blue Shield is Overcharging Policyholders in Violation of California Law
Blueshield has been overcharging policyholders without written notice of the increase in premiums in advance of changes. Gianelli & Morris has been helping one family, a repeated victim.
Now Find Out What You Can Do About It.
Tell us what was denied. Send us the denial. Let us help you understand the next move.