What Happens If Your Insurance Claim Is Denied?
April 17, 2023
When you regularly make your insurance payments and then face the unpleasant surprise of your insurer denying a claim, you may wonder, what next? What happens if your insurance claim is denied? We bank on insurance policies to save us from financial ruin when things go wrong. In other words, we count on insurance companies to do the right thing when bad times come. However, too often insurance companies refuse to honor your valid claim. This unreasonable denial or failure to meet obligations under your insurance policy is considered “bad faith,” and to get you the benefits you deserve, you may need the help of a lawyer experienced in Oklahoma insurance law. Your insurance company must be fair, investigate your claim promptly, communicate with you, and inform you why your claim has been denied. When ... Read more
Can You Dispute an Insurance Claim Denial?
March 13, 2023
The answer is, yes, you can dispute an insurance claim denial. You have rights in Oklahoma and under federal law when your health insurance claim, auto insurance claim, home insurance claim or other insurance claim has been denied. When you have faithfully paid your insurance premiums in order to be protected when unexpected health issues, accidents and other incidents occur and your claim is unfairly rejected, it can be very upsetting and frustrating. But you should not give up. In such cases, seeking assistance from Oklahoma City home insurance claim lawyers can be a crucial step. These professionals can guide you through the process of disputing the claim denial and help you get the coverage you need and have paid for. There are steps you can take to dispute the claim denial and get the coverage you n... Read more
How Do I Fight an Aetna Denial of My Claim?
January 18, 2023
Have You Been Paying for Aetna Insurance but Had Your Claim Denied? Health insurance companies are in the business of making money, not paying out huge claims. When a client's claim is denied and they don’t fight back, the insurance company wins because it doesn’t have to pay the claim. Or, perhaps the insurance company gives you the run-around about the status of your claim or drags its feet in paying it. Unfortunately, this happens more often than many people think. If you’ve been on the receiving end of a legitimate claim that was denied, you know how unscrupulous insurance companies can be. We Can Help with Aetna Claim Reconsideration When you pay your health insurance premiums to a company like Aetna, you do so in good faith that the insurance company will pay a claim you submit when yo... Read more
Why Do Insurance Companies Delay Settlements?
November 6, 2022
“My insurance company protects me.” Of course, most people believe this. Isn’t it the premise upon which insurance companies operate? If so, then why do insurance companies delay settlements? Individuals in Oklahoma and across the country have faith that the companies which insure their health, their cars, their businesses, and their property have their best interests at heart. Unfortunately, this is not always the case. The loyalty of insurance agents and representatives is to the companies that employ them, and to their management and shareholders -- not to you. All of their actions are based on the bottom line. Insurance companies, regardless of the types of coverage they provide, are businesses. And, just like any other business, their primary goal is to make as much money as possible. ... Read more
What Do You Do When an Uninsured Driver Hits You?
October 21, 2022
Any vehicle accident is traumatic, but if the other driver has no insurance, you may be left wondering what to do after an uninsured driver hits you. Your car may be severely damaged, and you or your passengers may be injured. The fact that the other driver has no insurance, and probably not nearly enough money to pay for the harm done, can only worsen your anxiety. These situations are why you buy insurance, specifically uninsured/underinsured motorist (UM) coverage. Doug Terry Law represents those who have been mistreated and abused by insurance companies. But the reality is that, as aggravating as insurance companies can be, if you drive, you legally must have insurance. You should also pay for as much UM coverage as you can budget. UM coverage is not required by Oklahoma law, but insurance companies... Read more
Do Insurance Companies Try to Get Out of Paying Claims?
June 28, 2022
When you buy insurance, you may think that it's a simple transaction. You pay your premiums, and your insurance company will reimburse you if something goes wrong. You know that there are listed exceptions, but what happens if you think something should be covered? Do insurance companies try to get out of paying? Can an insurance company refuse to pay out? What if an Insurance Company Doesn’t Pay a Claim? When you file an insurance claim, your insurance company might approve it, reject it, or say you're owed a different amount. Their decision is not supposed to be whatever they feel like paying. An insurance policy is a contract with two equal parties. You have the right to be fully reimbursed for any claims you submit in line with the terms of your policy. Your insurance company has the right to p... Read more
Jury Awards $200 Million in Insurance Bad Faith Verdict for Denial of Cancer Treatment
April 15, 2022
On April 5, 2022, a jury in Las Vegas, Nevada, rendered an insurance bad faith verdict against Sierra Health and Life Insurance Company (a subsidiary of United Healthcare) in the amount of $200 million. The award included $40 million in compensatory damages for the physical, mental, and emotional harm caused to Sierra policyholder Bill Eskew resulting from Sierra’s malicious and oppressive denial of Bill's health insurance claim for cancer treatment. It also included an award of $160 million in punitive damages, which are designed to punish Sierra for its conduct in denying Mr. Eskew’s claim. The punitive damages are also designed to deter Sierra and other health insurance companies from engaging in similar conduct in the future. Awarded Damages in Case Against Sierra Health & Life Insurance Com... Read more
