Supreme Court Weighs Insurer's Conflict of Interest in Claim Denial
National News April 28, 2008
The Supreme Court struggled last week with how much weight to give an insurance company's potential conflict of interest when it denies an employee's health or disability benefits claim.
The ...
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Subject: RE: RE: Contract Language by Lou
Posted On: April 29, 2008, 1:42 pm CDT
Posted By: Lorrie
Comment:
I agree that insurer's should hold to the contract regardless of the situation. If in fact the claimant was still unable to perform the material duties of her job and had the applicable % loss of income she would not have been taken off claim. The Social Security eligibility is another issue entirely. The contract could have been off set by other income such as Social Security or had a definition requiring that the claim be denied due to eligibility for Social Security. Of course the insurer would help her to do this. I don't think there's any finger to magically point in any one direction here. Now the supreme courts get to decide; what is their expertise again?
Subject: RE: RE: Contract Language by Lou