In the past few years, the California Department of Insurance (“DOI”) has received thousands of complaints related to underinsurance. And it is starting to act.It has found misrepresentations and failure to pay claims against several insurers, as summarized below in their ongoing series of investigations, all titled “Following the Wildfires of 2015 and 2017.” While […]
UnitedHealthcare is the largest insurer of health benefits in the United States but despite its vast reach and revenue, UnitedHealthcare is refusing to approve health benefits for its own employee’s family. Jonathan Mischo is a young father and husband of a UnitedHealthcare employee who has battled multiple sclerosis (“MS”) for several years. MS is a […]
The Kantor & Kantor firm is proud of a recent successful appeal we won for a client with back pain and severe depression. The client has degenerative disc disease of the lumbar spine causing back pain when he sat for longer than a few hours each day.The constant back pain caused the client to be […]
Suppose you are disabled and receiving disability benefits from a long-term disability (LTD) insurance policy. In that case, there is a chance your insurance company will offer you a buy-out. If your insurance company offers you a buy-out, you may have many questions, like: Why did this happen? What does this mean? Do I need […]
Suicide is a leading cause of death in the United States, according to statistics gathered by the Centers for Disease Control and Prevention. Nearly 46,000 individuals died by suicide in the U.S. in 2020 and some 12.2 million American adults contemplated it. Nearly half a million lives (480,622) were lost to suicide from 2010 to […]
In October 2021, Governor Gavin Newsom signed Senator Scott Wiener’s (D-San Francisco) legislation, SB 221, which requires health plans and insurers to provide patients with timely follow-up care for mental health issues and substance use disorders. That law goes into effect today – July 1, 2022.Previous laws in California required Health Maintenance Organizations (“HMOs”) and insurers […]
Underinsurance and issues with insurance companies are worse than ever in 2022. The fire season has already begun, with over 3,000 fires burning over 21,000 acres by mid-June. The 2020 and 2021 fire seasons were the worst on record, and 2022 looks to meet or exceed those expectations.In an attempt to protect homeowners, the California […]
It is not uncommon that an initial claim for Long-Term Disability (“LTD”) is denied. This can be for a variety of reasons, most commonly including: lack of coverage, lack of medical evidence, lack of objective medical evidence, or a determination that, despite medical evidence of disability, the illness or injury is not significant enough to […]
Life insurance is one of those things we buy because we want the peace of mind that comes from knowing those we leave behind will be financially protected or buffered if something terrible should happen to us. But more often than you might think, insurance companies find ways to deny claims for life insurance benefits!In […]
Have you ever taken a minute to check on the funds offered in your employer’s 401(k) plan, or the administrative fees paid to outside vendors to manage it? If not, you should; hundreds of lawsuits have been filed against all types of companies by their employees alleging that their company’s 401(k) plan charges excessive administrative […]
