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Case Review Corner: When "Oops, We Forgot!" Costs the Insurance Company (Maybe)

Case Review Corner: When "Oops, We Forgot!" Costs the Insurance Company (Maybe)

What happens when a life insurance company takes your money for years but forgets to check if you actually qualify for the coverage? Ever paid for something you didn't get? Can life insurance be like that, but with way more at stake? Let’s explore these questions and the potential consequences for the insurer. In this Case Review Corner, we find out how United of Omaha might have to answer for taking premiums for coverage that might not have existed!

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Case Review Corner: Understanding the Fine Print – When Voluntary Drug Use Impacts Accidental Death Benefits
ERISA, Case Review Corner, AD&D, Policy Exclusions Brent Dorian Brehm ERISA, Case Review Corner, AD&D, Policy Exclusions Brent Dorian Brehm

Case Review Corner: Understanding the Fine Print – When Voluntary Drug Use Impacts Accidental Death Benefits

Did you know that accidental death benefit policies often have specific exclusions? What does "ingestion" really mean in an accidental death benefit policy? Our latest "Case Review Corner" examines a case where a policy exclusion for voluntary drug use led to the denial of a $500,000 benefit. Learn more about the importance of understanding your policy's fine print.

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Case Review Corner: Healthcare Providers Beware – Exhausting ERISA Remedies is Crucial

Case Review Corner: Healthcare Providers Beware – Exhausting ERISA Remedies is Crucial

Can a doctor or medical practice sue an ERISA health plan directly for denied payments? A recent court case involving COVID-19 testing provides a clear answer – usually not without first jumping through administrative hoops. Learn why the Murphy Medical Associates' lawsuit against the 1199SEIU National Benefit Fund was dismissed and what it means for healthcare providers seeking payment.

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Case Review Corner: The Perils of Non-Cooperation in an ERISA Disability Claim

Case Review Corner: The Perils of Non-Cooperation in an ERISA Disability Claim

What happens when you stop cooperating with your insurance company during a disability claim? The case of Kelly Routten against LINA offers a cautionary tale. Despite questions surrounding a pre-existing condition, the court ultimately sided with the insurer due to the claimant's decision to revoke access to her medical records. Discover why cooperation is key to protecting your ERISA disability benefits.

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