Insurance Claims And Issues

This blawg addresses issues related to insurance coverage and to the duties of good faith and fair dealing as presented in claims and as ruled on by courts across the nation.

Author: Dennis J. Wall is a speaker and legal consultant in Orlando and Winter Springs, Fla., who is often hired as an expert witness on the subjects of insurance coverage and insurance bad faith. He is the author of the book Litigation and Prevention of Insurer Bad Faith, which analyzes more than 3,500 cases, statutes and other authorities. He also authors Insurance Claims Bad Faith Law Blog.

Blawg Related Categories: Natural Disasters • Insurance Law • Consultant

Recent Posts from Insurance Claims and Issues

Health Insurers, United States Senate: Why "Federal" and "Regulation" Incompatible.
Some folks say that Insurance Regulation of Health and other Insurance Companies would be better handled by the Federal Government than by State Governments. States have regulated the business of Insurance for almost 150 years.…
Group Health Insurance Premiums Rise as Small Businesses Fall.
Across the nation, owners of small businesses are reporting that their Health Insurance Companies are raising Premiums by double digits, from 10% to 25% and in some cases by 35%, 47%, and perhaps even more.…
Fact-Based Florida Bad Faith, Holding: Includes "No Formal Offer".
Florida Courts consistently hold that Florida is a fact-based Bad-Faith jurisdiction. Florida's Second District Court of Appeal recently reversed a Summary Judgment entered by a Trial Court in favor of a Liability Insurance Company in…
Health Insurance, "Unconventional Treatments," "Alternative Practitioners" and Coverage.
So-called "unconventional treatments" are increasingly covered by many Health Insurance Policies and Plans. Some "alternative practitioners" may be on your or your client's Health Insurer's approved list. "Preauthorization" may be required in order to receive…
Disclosure of Insurance Policy in Discovery: Non-disclosure Draws Sanctions.
In a recent Bad Faith case, a Louisiana Appellate Court affirmed a Trial Judge's assessment of sanctions against an Insurance Company which failed to provide an Insurance Policies in discovery in one lawsuit, which it…
"Actions have consequences."--"No EOB Deadline, No ... Statutory Cause"--CONTINUED.
"However, actions have consequences." Download United Automobile Insurance Co. v. A 1st Choice Healthcare Sys's, Inc. (Fla. 3d DCA Opinion Filed November 4, 2009), at 6. Consider what those consequences can include, in this further…
Replacement Income Models for Retirement, Catastrophe Models Same Flaw: GIGO.
Their shared flaw? "Garbage In, Garbage Out" ("GIGO"). 70 percent of current income is the model widely used for calculating the amount of income you will need when you retire. Unfortunately, that model, like Catastrophe…
No EOB Deadline, No Private or Implied Statutory Cause of Action.
In a newly released Florida Appellate Court decision, the Court confronted two issues involving Florida Statute Section 627.736(4)(2004), which was and is a subsection of Florida's Personal Injury Protection or "PIP" Statute. The first issue…
Adjusting Your Counseling on Mental Health Insurance Coverage.
Adjusting to changing times and changing Insurance Coverages. In a new report by Lesley Alderman, "Patient Money/In Anxious Times, Medical Help for the Mind as Well as the Body" p. B5, col. 1 (New York…
UPDATE: Alternative Restitution Sources for Chinese Drywall Claims -- Not Insurance Companies.
Senator Bill Nelson (D-Fla.) reports that in his judgment, a source of payment for Chinese Drywall Damages Claims other than Insurance is: The Chinese Government. However, he also announced on Friday, November 6, 2009 that…