In August 2021, Kantor & Kantor filed a complaint against one of California’s largest insurer’s in the Superior Court for the State of California, County of Los Angeles on behalf of a client who was denied coverage for an explant surgery.After a routine mammogram in 2013, and a subsequent biopsy, Kantor & Kantor’s client, a […]
The pandemic has taught us that the world has changed with COVID. Those trying to recover from this deadly disease are navigating a new world with medical practitioners who are unfamiliar with the long-lasting side effects and insurers who have never been receptive to conditions which cannot be measured by an x-ray or “dipstick.”“Long COVID” […]
August 17th, 2022 is National Nonprofit Day, a day to recognize the goals and positive impact that nonprofit organizations have all over the world. According to the National Center for Charitable Statistics, there are 1.5 million registered nonprofit organizations in the United States. Nonprofit organizations throughout the country work to promote awareness and offer assistance to individuals who otherwise […]
Much has been written about “Long COVID” and people suffering as “COVID Long Haulers,”but still, too little is known about the long-term effects of a COVID-19 infection.As of this writing, according to the CDC, there have been 92 million cases of Coronavirus infection in the United States, with the rate of infection running at about […]
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 […]
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 […]
