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American General Life Insurance Claim Denials

Life insurance is meant to be something that you take care of once and then forget about until it matters. So long as you continue to pay your premium every month, you have the justifiable expectation that if you pass away, your loved ones will be taken care of. Unfortunately, many life insurance providers like… Read More »

Accidental Death & Dismemberment Claims

Losing a loved one in an accident is one of the hardest things any family can experience. The situation can be even more difficult when the death results in financial hardship. For example, if the person killed was the primary breadwinner, the family may not know where to turn for financial help. Accidental Death &… Read More »

Ameritas Disability Claim Denial

Millions of people apply for short-term (STD) and long-term (LTD) disability benefits in the United States every year.  Insurance providers reject half of those claims.  Insurers like Ameritas look for any excuse they can find to avoid paying out on disability claims, whether those justifications are legitimate or fabricated.  Purchasers of disability insurance often do… Read More »

Anthem ER Claim Denials

Coverage for an emergency room visit is a basic and crucial feature of any health insurance policy, and for good reason. The costs of being treated in the ER, while necessary and sometimes life-saving, can be astonishingly high and unaffordable without insurance coverage. Unfortunately, not all insurance companies are meeting their obligation to cover emergency… Read More »

Blue Shield Overcharging

Did your health insurance premiums increase more than they should have? Did your insurance company raise your rates without telling you first? Both of these actions are illegal under California law, but our law firm has recently become aware of several instances where Blue Shield has engaged in this misconduct. We believe Blue Shield’s actions… Read More »

Delayed Life Insurance Claim

You purchase a life insurance policy and pay your monthly premiums in order to have peace of mind knowing that your family will be provided for after your passing.  Life insurance can be a critical asset for surviving family members after the passing of a loved one, especially when the deceased party was the breadwinner… Read More »

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Denials Based on Medical Necessity

When you are dealing with a serious illness or injury, you are looking for treatment and a cure.  When your doctor recommends a course of treatment, you want to follow your doctor’s recommendation.  If you have been on top of paying your health insurance premiums, you expect that your insurer will be on your side.… Read More »

Denied Disability Claims for Doctors

Unlike many other professions, even a minor injury or illness can cause a doctor to be unable to perform their duties either temporarily or permanently.  A surgeon who breaks a finger on their dominant hand is unable to perform surgeries.  If they lose that finger permanently, or if they suffer from carpal tunnel syndrome or… Read More »

Experimental Treatment Denials

Insurance companies will look for any reason to protect their bottom line by avoiding a payout.  One of the most common reasons cited for denial of coverage is that a form of treatment is “experimental,” meaning that the medical community does not yet accept it.  Experimental treatments are not covered by many policies, even when… Read More »

Failure to Investigate Claims

Insurance companies in California owe their customers a duty of good faith and fair dealing.  That means that insurance companies are required by contract and by law to respond appropriately to claims and only deny claims where they have good reason to do so.  If the company chooses to deny a claim for medical coverage,… Read More »

Globe Life Insurance Claim Denial

Globe Life and Accident Insurance Company is one of the largest providers of life insurance in the United States.  Like many other insurance companies, Globe Life has demonstrated that their number one priority is their own bottom line.  Many policy beneficiaries have either been wrongfully denied the payments that they are owed, or they have… Read More »

Guardian Long-Term Disability Insurance Denial

If you contract an illness or suffer a serious injury and are no longer able to work, you rely on your disability insurance to provide for your medical care, your expenses, and provide for your family.  Whether you purchase your own separate policy or are covered through your employer, you have the right to expect… Read More »

Hartford Disability Insurance Denial

Becoming disabled after an injury or illness can be disorienting and downright frightening.  You may find yourself unable to work, unable to perform regular daily activities with full steam, all while building up significant medical bills.  In those circumstances, you expect to rely on the disability or health insurance you purchased individually or that was… Read More »

Hartford Life Insurance Claim Denial

Big insurance providers like Hartford Life are constantly looking for any reason to deny coverage, whether for nitpicky reasons, lack of evidence, or entirely fabricated reasons.  If you have a life insurance claim that hasn’t paid out, for any reason, you have the right to know why.  Many times, you have the right to fight… Read More »

HMO Disputes

One of the most common types of managed care insurance systems is the Health Maintenance Organization (HMO). This type of service provides the consumer with general health and wellness benefits including annual physical exams and gynecological appointments for women. Any other medical need outside of this general covering must first go through your general practitioner.… Read More »

Insurance Bad Faith

Even though insurance customers have signed written policy agreements with their providers, those are broken by insurers all the time. When this happens, it is called “insurance bad faith” and is in violation of their duty, which is known as the "implied covenant of good faith and fair dealing." This term is unique to United… Read More »

Insurance Policyholder Rights

Gianelli & Morris provides strong representation for California insurance policyholders who have been denied insurance coverage regarding medical treatment, as well as those who have been denied long-term care insurance benefits. Most people are surprised when an insurance claim is rejected. After all, the very reason we pay for health insurance is to cover the… Read More »

Jackson National Life Insurance Claim Denial

Life insurance is not supposed to be something that you worry about forever.  You shop for policies, work with an insurance agent, and purchase a policy.  After that, so long as you keep up with your premiums, you and your family know that your loved ones are taken care of in the event of your… Read More »

John Hancock Life Insurance Claim Denial

When you get your life insurance set up, it is a relief.  It is one item on your list you can check off, knowing that when you or your loved ones pass away, your family will be taken care of.  All you need to do is keep up with your monthly or annual premiums, or… Read More »

Liberty Mutual Long-Term Disability Denial

A serious illness or injury can upend your life.  You can find yourself unable to drive or perform other daily tasks, managing pain and recovery, and facing mounting medical bills.  When your injury prevents you from working long-term, you must be able to rely on your disability insurance policy to provide for your healthcare, your… Read More »

Lincoln Financial Insurance Claim Denial

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MassMutual Claim Denial

MassMutual is one of the largest providers of insurance products in the world.  They serve millions of customers and rake in billions of dollars every year.  They also have a history of shady and wrongful behavior, taking advantage of policyholders and exploiting loopholes to avoid payment on claims.  You don’t get to be one of… Read More »

Metlife Disability Claim Denial

Millions of people across the country apply for disability benefits each year.  Large insurance providers reject nearly half of those claims.  Insurance companies like Metropolitan Life Insurance Company are concerned first and foremost with their own bottom line.  They will look for any reason to deny a claim or limit a payout.  When your disability… Read More »

Metropolitan Life Insurance Claim Denial

In an ideal world, you would carefully choose a life insurance policy, pay your monthly premiums, and be done with it.  You would rest easy, knowing that your family will be taken care of should the worst happen.  Life insurance should be something that you pick once, or update periodically in line with your finances… Read More »

Northwestern Mutual Insurance Claim Denial

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Ohio National Disability Denial

Disability insurance is meant to help you when you are at your lowest.  You have been injured or suffered illness and are unable to work.  You turn to your disability insurance policy to cover you through short-term (STD) or long-term (LTD) disability, relying on the policy that you purchased or that your employer has provided… Read More »

Principal Financial Disability Claim Denial

Whether you have disability insurance through your employer or you purchased your disability insurance separately, you are entitled to rely on the protections you have been guaranteed.  Unfortunately, disability insurance providers are often more worried about protecting their bottom line than they are about issuing the benefits that they have been paid to provide.  Millions… Read More »

Prosthetic Limb Denials

After the loss of an arm or leg, amputees must relearn how to interact with the world around them. An amputation once meant that the amputee would never again be able to resume their normal life activities. However, the advances that have occurred in artificial limb technology in recent years offer prosthetic users far greater… Read More »

Prudential Insurance Company

Prudential Insurance is the United States’ largest insurance company. The massive conglomerate insurer and financial services provider is estimated to have assets worth over $1.4 trillion, employing nearly 50,000 people. When insurers become as monolithic as Prudential has, navigating the bureaucracy when you have a claim or dispute can be maddeningly inadequate. Many individuals with… Read More »

Reconstructive Surgery Denials

In the California area, it is typical that many individuals get cosmetic surgery in an attempt to feel better about themselves. Due to this fact, many insurance providers discount any request for plastic surgery of any kind, thinking that people are merely getting work done for self-esteem issues. There is, however, a major difference between… Read More »

Reliance Standard Disability Denial

The disability insurance denial attorneys at Gianelli & Morris are familiar with Reliance Standard and other large insurance providers just like them.  When an injury or illness renders you unable to work, you should be able to rely on your employer-provided or separately purchased disability insurance to cover your medical costs and lost income.  That… Read More »

Short-Term Disability Claims

Suffering a serious accident, whether inside or outside the workplace, is a jarring experience that can leave you uncertain about your future.  As medical bills and other expenses mount, many injured people find themselves unable to perform their normal job duties, either temporarily or permanently.  Your short-term disability insurance (STDI) is meant to start shortly… Read More »

Standard Insurance Company Disability Denial

If you have been disabled due to illness or injury, the last thing you need is a protracted legal battle with your insurance company.  Whether you have a policy through your employer or you purchased your disability insurance separately, you should at least be able to rely on the coverage you were guaranteed while you… Read More »

Surgery Insurance Denials

Health insurance is designed to help the average person afford the costliest medical expenses. By and large, most of us need relatively little medical care until a major need arises. When those needs do come, such as a need for surgery to alleviate a painful condition, we should be able to trust that the insurance… Read More »

Transamerica Life Insurance Claim Denial

Life insurance companies, like other insurance providers, seem to care more about their bottom line than they do about their policyholders or beneficiaries.  When a policy is triggered, big life insurance companies like Transamerica Corporation may aggressively hunt for any reason to deny claims and reduce payouts.  They might claim that a cause of death… Read More »

Underpayment of Claims

As a policyholder, it is critical that you know the details of the contract with your insurer. When you pay your premium on time and are a loyal customer for many years, you should expect for them to follow through on their job. If they intentionally attempt to underpay you for any reason when you… Read More »

Unfair Annuity Sales Practice

In a deferred annuity, a purchaser deposits premiums and receives a rate of return, the realization of which is deferred until the term of the annuity. At the annuity term, the purchaser has the option of "Annuitizing," that is, receiving periodic payments at a set interest rate. Surrender charges, which decrease over time, are imposed… Read More »

Unum Disability Claim Denials

Unum Group is one of the largest and most high-profile disability insurance companies in the country.  It also has a reputation as being one of the most unscrupulous insurance providers when it comes to disability claims.  Going back at least two decades, Unum has been accused of claim-cutting.  Former Unum employees have come forward to… Read More »

Wrongful Cancellation

Health insurance is supposed to be there for policyholders when they need it most by covering the cost of treatment for serious illnesses and injuries that they wouldn’t be able to afford otherwise. Despite the fact that insurance customers may have paid insurance premiums for months or years before seeking coverage for costly treatment, insurers… Read More »

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