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19 Feb 2013, 4:57 am by admin
(See MCL 500.3009(1)) The court was interpreting Section 17 of Canada’s OPCF 44, the Family Protection Endorsement, which provides: “Every action or proceeding against the insurer for recovery [of inadequately insured motorist benefits] shall be commenced within 12 months of the date that the eligible claimant or his or her representative knew or ought to have known that the quantum of claims with respect to an insured person exceeded the minimum… [read post]
21 Aug 2013, 7:31 am by Breakstone, White & Gluck
In its August 8, 2013 decision, the Supreme Judicial Court held that Liberty Mutual could not avoid the payment of the medical payments coverage, and that the standard Massachusetts auto insurance policy provided for payments to the insured even when the health insurance company had made the payment. [read post]
26 Oct 2014, 5:46 pm by Gerald Gregory Lutkenhaus
The original design of the Virginia Workers Compensation Act was to have a simple mechanism to provide injured workers compensation and medical care. [read post]
25 Oct 2011, 1:21 pm
You may have to provide some records - but it is unlikely that you have to provide everything. 2 - Determine for yourself, or with the assistance of representation, what information is truly appropriate and/or necessary for the insurer to consider your claim properly. [read post]
4 Apr 2012, 2:37 am by Robert Kraft
[2] Health Insurance Association of America. [read post]
9 Mar 2011, 4:58 am by Ray Mullman
  Cassidy claimed that being uninsured is better than being on Medicaid — the federal government program that provides health care for low-income Americans: CASSIDY: Medicaid, for your viewers who may not know this, is a combined federal-state program that insures, so to speak, the low-income folk. [read post]
14 Jun 2010, 9:19 pm
[action] . . . at a time when all serious doubts about [his or her] liability were removed . . ., and that defendant insurer [acted with gross disregard for the insured's interests, i.e., it] engaged in a pattern of behavior evincing a conscious or knowing indifference to the probability that [the] insured would be held personally accountable for a large judgment if a settlement offer within the policy limits were not accepted. [read post]
16 Sep 2019, 11:50 am by Steven Boutwell
By Jennifer Jones Thomas On September 10, 2019, the Centers for Medicare and Medicaid Services (“CMS”) published a Final Rule in the Federal Register which will require Medicare, Medicaid, and Children’s Health Insurance Program (“CHIP”) providers and suppliers to disclose current and previous affiliations with other providers and suppliers who CMS identifies as posing an undue risk of fraud, waste, or abuse. [read post]
22 Feb 2010, 9:11 pm
  Records submitted by a health care provider to a no-fault insurer do constitute "business records" for the purpose of this statute. [read post]
6 Oct 2008, 5:26 pm
The National Alliance of Medicare Set-Aside Professionals (NAMSAP) hosted its 2008 Annual Meeting October 2 in Washington, D.C. [read post]
10 Apr 2016, 8:00 am by Fox Rothschild LLP
New for this round, the 2016 audits will focus on covered entities, including health care providers and health insurers, and their business associates. [read post]
23 Jun 2010, 7:00 am by Karen Olson
This is good news for subrogation professionals because it provides a warning to landowners and potential tortfeasors that flooding could occur and that additional safeguards should be taken. [read post]
15 Apr 2008, 2:40 am
The factors may be related to the state of one party’s health or the cost of providing health insurance for a given condition or the inability to do so. [read post]
5 Feb 2012, 11:52 pm
In the case of (1) Sealion Shipping Limited (2) Toisa Horizon Inc v Valiant Insurance Co [2012] EWHC 50 (Comm), Mr Justice Blair held that a marine insurer could not avoid liability for machinery breakdown under a loss of hire policy.The claimants sought an indemnity under the policy following a propulsion motor breakdown, after which the vessel was placed offhire.The defendant contended that it was entitled to avoid the policy for material non-disclosure, because the… [read post]
14 Jan 2019, 3:08 pm by Kevin LaCroix
May 2, 2018), the policy at issue excluded coverage for claims arising out of acts or omissions “of an Individual Insured serving in any capacity, other than as an Employee, Executive or Outside Executive of an Outside Entity. [read post]
26 Apr 2024, 1:36 am by Ina Iyer
Insurance contracts do, however, often alter this position and give immediate recovery rights. 2 The rights asserted in the recovery are those of the insured, not the insurer. 3 The insured should be involved in the recovery process, as it will usually feature as the plaintiff who may have a stake in the recovery and will therefore need to participate in the process (for example, discovery, testifying etc). [read post]