Over nine months ago. Now I guess my adjuster quit and they closed my file even though my contractor was communicating back and forth with the adjuster that quit and they want to start over from square one and send a new adjuster over to evaluate the damage. Isn’t there a time limit on how long... Read more »
"Bad faith," 2 words that lawyers enjoy bantering about and insurance companies loathe hearing. But, in Idaho, to show "bad faith," you must show that the insurance company's payment or treatment was "intentional" or based on gross negligence. Courts are fair...Read more »
My boyfriend does not drive my car and is not a owner of the car in any way. The only reason he has his license is for work. My insurer added him to my policy after stating that "you did not verify so we added him anyway". Their website clearly states that he is classified as a... Read more »
I understand your concern about being "forced" to add someone to your policy, especially when it's your own car and the other person DOES NOT drive your car. However, you can imagine the insurance company's concern that he still could have access to your keys and there is a...Read more »
It was the the policy I had for my now deceased husband . We got divorced -- Mar 2018. He wanted the policy back -- I didn't argue. BUT apparently he DID NOT change the beneficiary -- its still me. This ins co has been requesting a lot of stuff, and I have provided it, and they keep... Read more »
A Colorado attorney could advise best, but your question remains open for four weeks. One option is to look into a consult with a Colorado attorney who handles life insurance claims. If you have the basis for a claim, which is something that an experienced attorney could better understand after...Read more »
If you are talking about an insurance company for another person who might be liable to you for damages caused by an accident, the insurer can dispute its insured's liability, and the extent of the damages, until there is a settlement or a final judgment.
An Indiana attorney could advise best, but your question remains open for two weeks. It could be difficult for ANY attorney to advise based on these brief facts. If you reached out to law firms, they're going to ask about the substance of the statements, the damages caused, your evidence, etc....Read more »
Sued by a local city in Michigan for an Ambulance trip. That was never billed to insurance. But billed to my insurance on many other trips before and after this one. Was told that the time period to submit passed and I owed them, even though they never filed a claim to begin with. Even though they... Read more »
A Michigan attorney could advise best, but your question remains open for two weeks. Until you're able to discuss with a local attorney so far as state-specific provisions go, in general, the provider has an obligation to submit bills to the insurance carrier on time. The patient has an...Read more »
I agree with you. Its not betterment. A catalytic converter does not depreciate because the useful life is essentially as long as the useful life of the car. Do you have anything in writing from the insurance company taking this position?
One approach would be sue the insurance company...Read more »
They have denied the claim based on a line in the contract that says they will not cover water damage resulting from the release "from within any portion of a plumbing or automatic fire protective sprinkler system that is either: below the surface of the ground, or within or below the slab or... Read more »
Your insurance policy must be read verbatim in conjunction with your treatment plan. Are the implants covered or not? You will need an attorney to examine the contract and facts. Bad Faith in TN is not very much, so concentrate on Breach of Contract, possibly even in General Sessions.
More information is needed. Speak with a local attorney regarding this. [I litigate cases. Anything posted here must not be construed as legal advice, nor as grounds for forming an attorney-client relationship. You should seek an attorney for formal legal advice and representation.]
We lost our home in the Tubbs Fire on 10/09/17 in Santa Rosa, CA. Still dealing with Nationwide. They are saying the fence is under coverage "B", Other Structures. I am arguing the fence should fall under coverage "A", Dwelling because it was attached to the house on both sides.... Read more »
Fences are always considered to be other structures. I don't know of any California cases that hold differently, and I suspect that the Texas case you cited has some unusual nuance to it that led to that result. Given that this fire occurred over five years ago, its hard to see how you could...Read more »
Emblem was my former insurance through my former employer. I suffer from hip pain. I was approved for an X-ray of my hip which showed normal. However the pain was severe. My PCP requested an MRI on my behalf several times, but Emblem denied the request each time. My coverage ended with Emblem on... Read more »
I'm sorry for your ordeal. You ask if you could sue. I think it would be difficult to find a law firm to handle such a matter on a contingency basis. MRIs are often initially denied as a knee-jerk reaction in many instances. They are big-ticket items compared to other less-sophisticated...Read more »
An Illinois attorney could advise best, but your question remains open for two weeks. You could speak with attorneys who handle property & casualty insurance matters. You could also reach out to general civil litigation law firms and ask if homeowners insurance falls under their area of...Read more »
My doctor wrote a letter to the hospital that it was an outpatient surgery and to rebill ins. I've been fighting this for 16 months and keep getting the run around. Please advise if I have recourse. Thank you.
A strongly-worded letter to the company letting them know that you will be suing them if they do not stop illegally trying to bill you should do the trick. Contact my office if you need assistance in drafting such a letter.
I was in an auto accident 4 months ago.. The other man was at fault, but did not file a claim (I was just informed of this) for 4 months I have not had a reliable vehicle, nor have repairs been made by our insurance due to no collision policy. Our insurance did send the adverse carrier 4 demand... Read more »
Auto insurance is tricky. You don't have a claim against his insurance company. You have a claim against him. He has a claim against his insurance company if they refuse to pay you on his behalf. Your insurance company has no claim against anyone, because you did not have collision coverage....Read more »
Filed in pro per civil unlimited against negligent driver that rear ended me and was cited for speeding at scene of accident. Went to hospital and have been treating for spinal injury. Defense counsel for Kemper responded to suit by claiming plaintiff, (myself) not wearing seatbelt. However, I was,... Read more »
Defendants get to assert defenses. They have to prove them by a preponderance of the evidence. You are entitled to dispute the defenses. That happens at trial by testimony or other evidence. Since there has been no trial, you have no right to prevent the Defendants from claiming this defense.
I believe my landlord is colluding with my surrounding neighbors in order to gain information about the way I live so that they may navigate renters insurance the best way. For 6 months this has caused me extreme mental distress to the point where I tried to kill myself out of hopelessness and... Read more »
Hard to see how someone else affects your renters insurance but nothing you have posted appears to be unlawful. Also is very hard to see why you would elect suicide over just moving elsewhere. You would likely be better served to focus your efforts on getting adequate counseling and care rather...Read more »
My passenger airbag in my Honda deployed on the freeway. There was no accident, I’m not sure if it was a pot hole, bump, or malfunction. My insurance is blaming it on manufacturer, and vise versa. Now Allstate won’t pay Honda for the inspection and storage fees after “the jerk... Read more »
My health insurance company continually refuses to answer direct questions I have re: claim denial. Specifically, what codes were used. In addition, they also provide false/misleading answers to questions re: claims, my policy. My Q: what laws could they potentially be violating with this tactic?
A Missouri attorney could advise best, but your question remains open for two weeks. In terms of the codes you mention, the billing companies for the medical providers that treated you input those. You should be able to see those line-by-line on your bills, which you could request copies of from...Read more »
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