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16 Jun 2016, 5:42 am
(3) failing to promptly provide to a policyholder a reasonable explanation of the basis in the policy, in relation to the facts or applicable law, for the insurer's denial of a claim or offer of a compromise settlement of a claim; (4) failing within a reasonable time to: (A) affirm or deny coverage of a claim to a policyholder; or (B) submit a reservation of rights to a policyholder; . . . (7) refusing to pay a claim without conducting a reasonable investigation… [read post]
20 Mar 2015, 4:41 am
David Deitz, former medical director for Liberty Mutual Insurance, echoed Franklin's presentation but put it into context with a comparison to general health, stating that without ensuring injured workers receive good quality care, there isn’t much more that can be done to reduce medical costs.Both Franklin and Deitz advocate compensation for outcomes, rather than the present fee for service model currently employed in most work comp systems.Deitz also demonstrated a general… [read post]
2 Jan 2013, 1:36 pm
As explained in a 2009 post, financial and insurance regulators often struggle to provide effective preneed oversight because they tend to focus on the ‘backend’ of the transaction (that part of the transaction they are most familiar). [read post]
18 May 2012, 11:37 am
” The policy also provided that there was no duty to defend “any claim . . . arising out of the actual or attempted purchase of property by . . . an entity in which any Insured has a financial interest . . . provided that such financial interest existed at the time of the act or omission giving rise to the claim. [read post]
17 Jan 2023, 3:00 am
Vagueness always invites insurance companies to provide excuses for underpayment and late payment. [read post]
29 Dec 2015, 6:19 am
If they don't communicate pain and suffering to their health care providers, they will have a much more difficult time getting 3 times the reasonable and necessary medical bills.The insurance company adjuster, judge, arbitrator or juror will carefully review the notes written by your health care provider. [read post]
11 Mar 2008, 9:34 am
Since 2000, the physician-to-population ratio in states without caps has increased twice as much as in states with caps.Do not be fooled by the propaganda of the insurance companies and for profit health care providers. [read post]
21 Apr 2018, 10:26 am
With such sublease, there will be related considerations, including insurance. [read post]
2 Apr 2014, 5:57 am
Intended to provide title insurance companies with protection from the “hidden liens” of subcontractors and suppliers, the law remains confusing to many industry stakeholders up and down the contractual chain. [read post]
23 Jul 2010, 11:52 am
Long-term care insurance insures your retirement funds and provides protection so that the money stays intact while, at the same time, provides money for elder care services. [read post]
6 Apr 2010, 12:30 pm
Only stay in hotels that provide parking security 24/7. [read post]
17 Sep 2018, 6:49 pm
For those of us involved in day to day D&O insurance transactions, it is a recognized fact that cannabis-related companies represent a tough class of insurance business. [read post]
9 Mar 2017, 5:21 pm
The Fiduciary Liability coverage section provides that the insurer “shall pay, on behalf of the Insureds, Loss for which the Insureds become legally obligated to pay on account of any Fiduciary Claim. [read post]
3 Jul 2012, 2:34 pm
First, insurance companies will delay, deny, and defend. [read post]
7 Mar 2011, 3:18 am
Unfortunately, during the insurance claim process, insurance company doctors examine innocent car accident victims and may try to minimize the extent of injury. [read post]
6 Feb 2010, 10:42 pm
If the employer or insurer fail to provide you with a copy, notify the Minnesota Department of Labor and Industry and request a copy from them. [read post]
15 Oct 2013, 12:24 pm
Co., No. 3:12CV1675 (M.D.Pa. [read post]
3 Sep 2024, 10:31 am
By knowing the true value of your claim, you can avoid accepting an inadequate settlement and ensure you receive fair compensation. 3. [read post]
5 Mar 2018, 6:26 am
In general, the money goes three places: to you, to your lawyer, and to the other people (usually medical providers or health insurance companies) who are still owed money. [read post]
25 Feb 2010, 3:13 pm
With regard to the suit, however, he asserted that the arbitration agreement did not apply because (1) FINRA excepts insurance disputes, (2) the dispute did not arise out of his employment and therefore outside the scope of the arbitration provision and (3) the employer waived its right to compel arbitration. [read post]
