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20 Aug 2011, 6:10 am
Both the policy and the Insurance Code, Section 542.055, provide that within 15 days after a claim has been filed, the insurer is obliged to begin an investigation of the claim and to request all items, statements, and forms the insurer reasonably believes will be required from the insured. [read post]
16 Dec 2010, 12:54 pm
Specifically, the policies provided, in relevant part: Refunds: If the insurance stops before the end of the Term of Insurance, We will on written notice refund any unearned premium. [read post]
27 Apr 2012, 8:31 am
An "applicable self-insured health plan" is any plan which provides accident or health coverage, if (1) any portion of the coverage is provided other than through an insurance policy and (2) the plan is established or maintained, generally, by (a) one or more employers for the benefit of their employees or former employees, (b) one or more employee organizations for the benefit of their members or former members, (c) jointly by one or more… [read post]
25 Jan 2008, 1:41 pm
This notice must be provided to all employees (meaning any person who is covered by his employer's unemployment insurance pursuant to the Unemployment Insurance Code) regardless of whether they actually qualify for the EITC. [read post]
19 Sep 2024, 10:51 am
See McIver, 2024 WL 4144075, at * 2, citing Barker v. [read post]
16 Jun 2011, 5:41 am
Previously, the Insurance Institute of Michigan and its executive director, Pete Kuhnmuench, have described Michigan No-Fault insurance as “offering the best No-Fault medical benefits of any state” and providing policyholders with “the Cadillac of auto insurance policies. [read post]
21 May 2015, 6:08 am
If it can’t, it will quit the state. - BloombergThis can't be good news for Georgia residents that currently have Obamacare plans through Humana.Until now, Humana has not only had competitive rates and good value but has also had the broadest access to health care.While other carriers focused on skinny provider networks, Humana continued to deliver almost unfettered access to a large number of medical providers throughout the state.Apparently that will end come… [read post]
22 Oct 2020, 5:32 am
The NJ Assembly will hold a hearing on October 26, 2020 at 10:30am on legislation A1706 that will mandate workers’ compensation carriers to cover coverage for the medical use of cannabis in certain circumstances.The bill provides that personal injury protection automobile insurance benefits and workers’ compensation benefits must include coverage for costs associated with the medical use of cannabis, provided that the insured or the employee is a… [read post]
23 Jul 2013, 11:43 pm
/wcs 2. [read post]
4 Nov 2013, 6:32 am
(2) Should "actual prejudice" involve proof by an insurance carrier that it suffered a real material impairment of its ability to investigation and defend an uninsured claim? [read post]
30 Sep 2008, 5:20 pm
Aviva Insurance Co. of Canada [2008] B.C.J. [read post]
29 Feb 2016, 4:00 am
The court said that the details of the incident that Chirico provided in his application for unemployment benefits were consistent with his testimony at the hearing, “which the Board credited. [read post]
25 Sep 2020, 11:41 am
The intermediary marketing company then provides these beneficiary lists to Telemedicine Providers who have been engaged to conduct remote assessments and evaluations[2] of these individuals. [read post]
13 Aug 2018, 8:04 am
In a recent interview (her first since being sworn in as Chair of the Federal Deposit Insurance Corporation), Jelena McWilliams provided insight into the FDIC’s likely regulatory agenda. [read post]
21 Nov 2011, 3:17 pm
2. [read post]
6 Jun 2023, 9:41 am
June 2, 2023). [read post]
15 Nov 2017, 10:12 am
In responding to an insurer’s misrepresentation or rescission defense, for example, policyholders may invoke New York’s statute applicable to misrepresentation defenses to require the insurance company to produce underwriting manuals and other related documents.2 Counsel familiar in the nuances of New York insurance law can assist the policyholder to exploit those provisions of New York law that may favor policyholders over… [read post]
26 Jun 2023, 10:00 am
Many of these forms are only 1 to 2 pages long. [read post]
16 Oct 2007, 7:02 am
B192640, 2007 WL 2782365 (Cal.App. 2 Dist. [read post]
8 Apr 2013, 12:44 pm
Hard to believe, but we started discussing Anthem-provider network issues 7 1/2 years ago:"When Premier's network contract with Anthem expired on Jan. 1, Anthem stopped paying Premier directly for services at Miami Valley and Good Samaritan hospitals ... [read post]
