People will speak of “sticker shock” in reference to buying automobiles. The term is also used when seeing hospital bills. But the biggest shocker of all can be the bill for an air ambulance. The Claims Journal published an article in February of 2018. The article is titled, Appellate Court…
Articles Posted in Health Insurance
Provisions Of Health Insurance Policies
Pursuant to the Texas Insurance Code, Section 1251.101, group accident, health, and accident and health insurance policies must contain several prescribed provisions that include the following: premiums due must be remitted on or before the due date by the premium payors as designated in the policy and within any specified…
Health Insurance And Intoxication Exclusions
Insurance attorneys in Dallas County need to be able to know how the courts interpret exclusions in policies when the exclusions rule out coverage for injury resulting from intoxication of narcotics. The United States Western District Court in Austin issued an opinion in June of 2015, dealing with this issue.…
Health Insurance Attorney
Burleson insurance attorneys who handle health insurance situations need to read this 1989 opinion from the Houston Court of Appeals [14th Dist.]. It is styled Paramount National Life Insurance v. Williams. On March 5, 1981, insurance agent Cliff Cox met with Frankie Williams and her husband Willie and took an…
Paying Back Health Insurance Company
Lawyers and attorneys handling insurance claims in the Dallas and Fort Worth areas need to be able to discuss subrogation issues with clients who have been injured by third parties. Bloomberg Businessweek published an article on April 7, 2015, that discusses this issue. It is titled, “How An Insurer Is…
Health Insurance Claim Denied
Dallas insurance lawyers need to know about this ruling from the Northern District, Fort Worth Division. The case is styled, Hinna v. Blue Cross Blue Shield of Texas. This is a lawsuit for declaratory relief filed by Kelly Hinna. Hinna sued for a declaration that Blue Cross had an obligation…
Misrepresentation In Health Insurance Policy Application
Fort Worth insurance lawyers will find the 1995, case, Darby v. Jefferson Life, useful in their insurance law practice. It is from the Houston Court of Appeals [1 Dist.]. On October 5, 1987, Jefferson Life’s agent, Charles Sharp, interviewed Darby in her home after she applied for a major medical…
Fraud In Insurance By Doctors
Tarrant County Insurance Lawyers will see situations where a health insurer turns down claims. Those same attorneys sue health insurance companies for mis-treating claimants. The Insurance Journal ran a story that shows the doctors doing wrong. The title of the story is, N.Y. Doctor Found Guilty In Massive No-Fault Insurance…
Health Insurance Claim Denied
Irving insurance lawyers who deal with health insurance policies already know what was talked about in a recent article. The article is from FoxBusiness. Here is what the article tells us. Few things are scarier than racking up medical bills and then learning that your health insurance company won’t pay.…
Insurance And The Workplace
Aledo insurance attorneys are already aware of statistics reported recently by the Texas Tribune. An April 22, 2014, article tells us a half million employees in Texas are without workplace insurance. Here is what the article says. At least a half-million Texas workers have no occupational insurance coverage, either from…