Category: Wrongfully Denied Claims
WERE YOU DROPPED BY WELLPOINT JUST WHEN YOU NEEDED COVERAGE?
Posted June 20, 2013
In 2008, the Los Angeles City Attorney brought suit against WellPoint Inc. and its subsidiaries Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Companyclaiming the insurance giant was wrongfully rescinding health insurance policies of its insureds. That lawsuit has now been settled for $6 million, although the insurer denies any wrongdoing, with […]
WHAT DENIED CLAIMS WILL BE REVIEWED UNDER CIGNA SETTLEMENT?
Posted May 31, 2013
We posted about the California Insurance Commissioner announcing a settlement with CIGNA Group insurers that involved long term disability claims filed by insureds in five states last week. Insureds in California, Maine, Massachusetts, Pennsylvania and Connecticut who submitted a claim for long term disability coverage to CIGNA Health CIGNA Health and Life Insurance Company (formerly known […]
CIGNA AGREES TO RE-REVIEW DENIED DISABILITY CLAIMS FROM 2008-2010
Posted May 24, 2013
The Commissioner of the California Department of Insurance recently announced that it has reached a settlement with the CIGNA Group regarding potentially wrongfully denied claims. The insurer has agreed to revisit denied long term disability applications from California residents that were filed between 2008 and 2010. California is one of five states who have been […]
MENTAL HEALTH PATIENTS DENIED COVERAGE FROM UNITEDHEALTH FIGHT BACK
Posted April 12, 2013
Arbitrary limits on psychotherapy sessions for mental health patients has put UnitedHealth Group on the defensive. The New York State Psychiatric Association (NYSPA) and three individual plaintiffs have filed a class action lawsuit against the insurer for allegedly violating the Mental Health Parity and Addiction Equity Act by refusing to pay for necessary treatment for […]
INSURANCE COVERAGE FOR BREAST RECONSTRUCTION AFTER MASTECTOMY
Posted March 17, 2013
Actress, humanitarian and mother, Angelina Jolie recently detailed her decision to undergo a preventative double mastectomy and reconstruction surgery in an op-ed in the New York Times. The reason cited for her decision was the result of a genetic test that revealed she carries the BRCA1 gene mutation that makes her five times more likely […]
DISABLED POPULATION HAVING HARD TIME FINDING WORK IN 2013
Posted March 1, 2013
When the New Year hits most people hope that the coming year will be filled with better news and more happiness than the prior year. So far, that is not the case when it comes to employment for the disabled. The U.S. Department of Labor reports that the unemployment rate among the disabled in the […]
FEDERAL COURT: RISK OF SUBSTANCE ABUSE RELAPSE IS A DISABILITY
Posted January 25, 2013
There is a stigma the public carries about drug and alcohol abuse. Many believe that drug use is a choice. To an extent and for some, drug and alcohol abuse is based on irresponsible decisions. For some, substance abuse is the result of a sickness called addiction. This relates to disability insurance because a person […]
COURT RULES THAT 9/11 DISABILITY CLAIMS WERE WRONGFULLY DENIED
Posted December 13, 2012
Even more than a decade after the attack on the World Trade Center many people still live with the pain of what happened. Lives were lost on that day, but they were also lost or compromised in long-term aspects. A couple of officers who worked at Ground Zero after the attack, as well as a […]
FORMER NFL PLAYER WINS WRONGFUL DENIAL CASE
Posted June 22, 2012
The Employee Retirement Income Security Act of 1974 is a federal law that sets minimum standards for the majority of voluntarily established private pension and health plans. ERISA requires private employers to provide plan information to participants, outlines fiduciary duties for those who manage plans, requires a grievance and appeal process, and provides a right […]