San Antonio, TX asked in Insurance Bad Faith and Personal Injury for Texas

Q: Can a insurance company just stop paying an open claim if you lost your insurance.

I broke my right hand fingers in May and lost my Job in June and have been seeing a doctor and physical therapy to get my hand back and lost my insurance I'm July and they said thru don't have to cover any more medical treatment after July.

2 Lawyer Answers
John Michael Frick
John Michael Frick
Answered
  • Frisco, TX
  • Licensed in Texas

A: Yes, the insurance company can stop paying if you did not elect to continue your health insurance after losing your job. You do have 105 days from the date your employee health coverage ended to complete and submit your COBRA Election form with your premium payment. Your employee health coverage generally ends on the last day of the final month of your employment. So, if you lost your job in June, your employee health coverage ended June 30, 2023, and you have until October 13, 2023, to complete and submit your form and payment. So it's not too late to do so.

Tim Akpinar
Tim Akpinar
Answered
  • Insurance Claims Lawyer
  • Little Neck, NY

A: In health insurance claims, generally yes.

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