claim denials News

TPA’s Quick Denials of First Responders’ Workers’ Comp Claims Draw Penalty

A workers’ compensation insurer must pay $100,000 under an agreement with Vermont state regulators because its claims administrator gave short shrift to claims for post-traumatic stress disorder and other occupational diseases. Acadia Insurance Co. on April 18 reached an agreement …

N.Y. Bill Aims to Give Policyholders Private Right of Action in Unfair Claims Disputes

A proposed bill in New York relating to unfair claims settlement practices would provide policyholders with a private right of action against insurers who refuse or delay payment of a claim. The bill comes as many policyholders have expressed frustration …

Missouri Settles with Major Health Insurer over Claim Denials

Missouri insurance regulators announced a million-dollar settlement with a major health insurer over alleged violations that include denying childhood immunization and cancer screening claims. The Missouri Department of Insurance settled with Time Insurance Co., Union Security Insurance Co. and John …