Category: Insurance Bad Faith
There are a lot of opportunities to win at gambling in Reno. Whether you’re playing the slots or roulette, there will always be a risk. One area where you don’t want to gamble is with your insurance. You’re not obligated to carry health or homeowners’ insurance if you own your home outright. However, you must carry homeowners’ insurance if you have a mortgage. You also need to carry automobile insurance. In Nevada, drivers must carry liability insurance with the following minimums: $25,000 bodily injury liability per person $50,000 [...]
Is Only Paying a Partial Claim Considered Insurance Bad Faith?
The only reason to start a business is to earn profits and expand the customer base. That holds true for insurance companies. Although they profess to be there for their policyholders when they need them, they are always focused on the bottom line. They only make money if they continue to collect premiums without paying out on claims. Unfortunately, when an insurance company opts not to pay out a claim, it acts in bad faith, which can be actionable. Although it might seem straightforward, it can be complex [...]
How Much Is a Bad Faith Claim Worth?
Insurance companies are supposed to provide financial support when an accident or other tragedy occurs. Given the meteoric rise of insurance prices over the past couple of years, as reported by National Public Radio (NPR), it would be reasonable to expect that insurance companies are holding up their end of the expensive bargain. However, not all insurance companies act in good faith when investigating or paying out a claim. Far too often, they look to cut corners, delay payments, and generally fail to comply with their duty of [...]
Does Health Insurance Cover Auto Accidents?
The National Safety Council reports that nearly 5.4 million people experienced car crash injuries and another 46,980 died in vehicle accidents in 2021. Just the year before (2020), the estimated total cost of vehicle-related accidents in the US was $474 billion. Many of the costs related to these accidents were covered by various types of insurance, but not all. In Nevada, understanding how health insurance applies to car accidents is crucial for anyone driving on its roads. From the urban excitement of Las Vegas and Reno to the [...]
Do Insurance Companies Pay for Acts of God?
When it comes to natural disasters, you might hear the term "act of God" in the insurance exclusions. Damages from these events are often unforeseeable, and your standard homeowners policy might not cover them. Unfortunately, some insurance companies try to claim acts of God exclusions to avoid paying out on policy claims. We have handled numerous insurance policy denials for reasons like these at the Law Office of Matthew L. Sharp over the years. Do insurance companies pay for acts of God? We'll provide you with an answer [...]
How To Tell If Your Insurer Is Engaging in Bad Faith Practices
You received an explanation of benefits (EOB) from your insurer, much like one described by the Centers for Medicare and Medicaid Services, denying your health insurance claim that a medical provider sent in, and now you are expected to pay for that costly medical procedure. Or, your Nevada home sustained damage, and you were expecting your homeowners' insurance to cover those costly repairs, but now, it doesn't appear that they're going to. There are just two examples where an insurance company may say that what you've filed a [...]
How Long Are You Able To Dispute Health Insurance Claims?
If you’ve ever had to navigate a health insurance claim, you know they can be complex. Disputes can arise when there are discrepancies between what a policyholder believes should be covered and what their insurance provider has approved. But how long are you able to dispute health insurance claims? Let's take a look at the timelines and processes involved in disputing claims. About Health Insurance Claims Before trying to navigate the timelines of a dispute, we need to understand the basics of health insurance claims. When you receive [...]
Why Do Insurance Companies Act in Bad Faith?
Insurance is a cornerstone of modern life, offering protection and peace of mind in times of uncertainty. Whether it's health, auto, or property insurance, policyholders expect their insurance companies to act in good faith, promptly processing claims and providing coverage as promised. However, instances of insurance companies acting in bad faith are not uncommon. In this blog post, we delve into the reasons why insurance companies act in bad faith, undermining the trust and confidence of their customers. Understanding Bad Faith Before exploring the motivations behind the actions [...]
Is a Breach of Contract Considered Bad Faith Insurance?
If you deal with an insurance company intentionally stalling a claims investigation or falsifying reasons for a denial, it could be more than bad faith insurance. Could it be a breach of contract? While both situations involve some type of breach in terms or contracts, they are distinctive from each other. We have handled many Reno insurance bad faith claims in our law office. Let's help clear up any confusion between breaches of contract and bad faith insurance. What Is a Breach of Contract? In the world of [...]
Exposing the True Dangers of Prior Authorization
In the intricate realm of health care management, few processes provoke as much frustration and controversy as prior authorization (PA). It’s a system that the American Medical Association (AMA) refers to as "costly, inefficient and responsible for patient care delays,” referring to the complexities of prior authorization as “a nightmare.” Let’s delve into the multifaceted issues, including the dangers of prior authorization, shedding light on its detrimental impacts on patients, medical providers, and the health care system as a whole. What is Prior Authorization? Also known as pre-authorization [...]