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21 Dec 2016, 3:30 am
Pennsylvania code provides that a carrier must acknowledge the claim, provide all claims forms, instruction and reasonable assistance to the claimaint within 10 working days of reciept of the claim.1 They must reply to all “pertinent” communications within 10 working days.2 The insurance carrier must complete its investigation within 30 days of their receipt of the notification of the claim.3 If they cannot meet that deadline, they must send written notice to the… [read post]
8 Dec 2016, 1:24 pm
Now, if they'd purchased their current plans through the Old Line State's Exchange (Maryland Health Connection), they'll be automatically "transitioned" into a comparable plan with another carrier. [read post]
14 Mar 2014, 7:20 am
The proposal covers all technical aspects of the electronic logbook as well as the costs and benefits for commercial carriers. [read post]
10 Jan 2020, 3:00 am
The Plaintiff secured the liability limits from the other driver and then sought UIM benefits under his employer’s policyThe UIM carrier denied coverage because the employer had allegedly properly waived UIM coverage.The Plaintiff sued in state court asserting that the rejection of UIM protection by the employer failed to comply with Pennsylvania's Motor Vehicle Financial Responsibility Law (MVFRL), that the denial of UIM benefits violated the MVFRL, and that the failure of the… [read post]
7 Feb 2020, 5:08 pm
.) , the Pennsylvania Superior Court, in an unpublished decision addressed the issue of whether a claim of “institutional bad faith” states a valid private cause of action under Pennsylvania law.The court ruled that there was no such valid cause of action given that Pennsylvania bad faith law requires a focus on the case and the parties at hand, and not a carrier’s conduct towards other parties in general or its allegedly universal practices.The Superior Court noted that… [read post]
12 May 2020, 5:00 am
Who better to get carriers to listen than an insurance defense attorney as the mediator? [read post]
7 Mar 2023, 5:00 am
The court ruled that the cases that survive a Motion to Dismiss based upon a failure to communicate allegations of repeated attempt to elicit a response from the carrier, which was not found in the Complaint at issue in this case. [read post]
11 Nov 2014, 3:30 am
How else could an insurance carrier explain that its lawyer called their policyholder/customer an idiot during an examination under oath in a Hurricane Sandy claim? [read post]
5 Jul 2016, 11:42 am
This never gets old:As we've previously mentioned, Grandmothered plans often renew mid-year (that is, not on January 1), and very few carriers acknowledge them as Special Open Enrollment triggers. [read post]
30 Nov 2012, 5:00 am
Although the Federal Motor Carrier Safety Administration has voiced its desire to create such a clearinghouse in the past, progress has been slow, if not altogether imperceptible. [read post]
28 Jul 2013, 4:34 am
If you are facing litigation with your insurance carrier over Hurricane Sandy damage, you are not alone. [read post]
8 Jun 2015, 4:30 am
When there is $1 billion involved in a Superstorm Sandy insurance coverage battle, you can bet your bottom dollar there is going to be some gamesmanship in court by the insurance carriers with skin in the game. [read post]
28 Sep 2017, 10:58 am
Super. 1994), which provides that a plaintiff must present clear and convincing evidence of (1) that the carrier did not have a reasonable basis for denying benefits under the policy, and (2) that the carrier knew of or recklessly disregarded its lack of a reasonable basis.The Pennsylvania Supreme Court went on to note that evidence of a motive of self-interest or ill will was not a prerequisite for a Plaintiff to prevail on a statutory bad faith claim.The Majority… [read post]
30 Apr 2018, 11:31 am
"This gentleman paid in about $56,000, and has (thus far) received almost 30 times that in benefits.Heckuva deal.UPDATE: I've been reliably informed in the comments that (at least) one carrier, National Guardian Life, still offers the "unlimited benefit" option.Nice - Thanks, Scott and Tom! [read post]
1 Apr 2017, 6:50 pm
The recent mediation resulted in the beginning stages of general parameters of proposed settlements with the victims and the insurance carrier. [read post]
2 Apr 2013, 10:34 am
Domalakes granted an insurance carrier defendant's motion to sever a bad faith claim from a UIM claim but refused to stay the bad faith discovery. [read post]
7 Oct 2013, 10:31 am
Although rates for many carriers have yet to be approved, word is consumers may find lower rates and better plans OFF the exchange in many areas of the state including those where your only exchange choice is Blue. [read post]
12 Feb 2014, 4:18 am
Recently I was asked by a Texas insured whether his insurance carrier could deny his claim based on “unoccupied property” language in the policy. [read post]
17 Dec 2016, 3:31 am
I was recently asked by a collegue how long an insurance carrier has to pay a claim once it has been submitted. [read post]
1 Mar 2017, 7:40 am
Carriers' cost of doing business is directly and positively affected, and yet they don't have the corporate decency to acknowledge their greed.To be fair, neither do any of the other carriers benefiting from this unethical sleight-of-hand, so there's that.Would be nice if our legislators (and DOI bureauweenies) actually did something about this.Riiiight.Original content copyright © InsureBlog [read post]
