PSU insurance company files motion for denial of coverage

[Igothawked]

If you're talking about health insurance I agree with you 100%. I thought you were talking P&C insurance. Health insurance companies are scum.

The initial post was about P&C insurance, but somehow the topic got changed to health insurance. And I kind of agree with you. As a P&C guy, I think health insurnce sucks. There are big differences in the regulation and claims handling of P&C and health insurance. I don't think it's fair to lump all insurance companies together for that matter.

[hawkfan340]

If you're talking about health insurance I agree with you 100%. I thought you were talking P&C insurance. Health insurance companies are scum.

I wouldn't go that far. Heath insurers are worried about fraud and paying for claims that are not covered just the same as P&C. The rules of the game are far more complex in health which makes for more messy situations.

Also, the stakes are raised in health since people's lives and quality of life are on the line in larger ways in health.

Lastly, HIPAA rules prevent insurers from given public defense against accusations by insureds. Therefore you hear lots of media noise from the insured when a claim is denied, but the insurer must remain silent even if they are completely in the right.

I don't know ssckelly's situation, but comparing health and P&C is apples and oranges.

[SamsonHawk515]

WE ARE! PENN STATE!

[Sparky]

Speaking of Insurance, State Farm is dropping their support of PSU.

[Sparky]

WE ARE! PED STATE!

Fix it for ya.

[ssckelley]

The only reason why health insurance got brought up is because I was asked. I have also seen a number of insurance companies fight claims in Parkersburg after the tornado ripped through the south side of town. One company said a house was not a 100% loss because a wall was still standing. Another said the home owner was at fault because he did not get a tarp over his house right away after his roof got blown off.

[Blackout]

Insurance companies never try to find reasons to deny coverage.

[hawkfan340]

The only reason why health insurance got brought up is because I was asked. I have also seen a number of insurance companies fight claims in Parkersburg after the tornado ripped through the south side of town. One company said a house was not a 100% loss because a wall was still standing. Another said the home owner was at fault because he did not get a tarp over his house right away after his roof got blown off.

Hmmm... sounds inaccurate. :shrug:

[BlckNGldHwk]

If insurance companies don't deny claims then your premiums will go up. everyone wants their stuff paid for but nobody wants to pay what it would cost for that to happen. better coverage = more extensive. take your pick.

[ssckelley]

Hmmm... sounds inaccurate. :shrug:

How so? You really think I would make this stuff up? The one with the wall still standing put up a sign on the side of the road to advertise how well his insurance company was taking care of him. Shortly afterwards the company came to their senses and deemed the house a total loss. Feel free to ask anyone from Parkersburg if you doubt what I am saying.

Not all companies were like this, most were very good and took care of their customers right away.

[wartknight]

How so? You really think I would make this stuff up? The one with the wall still standing put up a sign on the side of the road to advertise how well his insurance company was taking care of him. Shortly afterwards the company came to their senses and deemed the house a total loss. Feel free to ask anyone from Parkersburg if you doubt what I am saying.

Not all companies were like this, most were very good and took care of their customers right away.

I grew up in Pburg and will verify this. It was a house on the north side of 57 going through town. They spray painted on the lone wall standing of the house "Ameri(something, I don't remember company) says this is not a total loss". That is the extreme one way that everyone hears about.
I also know of at least 2 cases where adjusters came in and found cracks in foundations of homes that homeowners thought there was just roof damage done, and the owners ended up getting brand new homes out of the deal.

[Golfer]

Duffman is dead right here. All liability insurance policies have specific exclusions pertaining to intentional acts, and most have exclusions for and will not cover unlawful behavior.
Personally, I think the insurance company has a pretty good case on this.

.

Not all, but pretty close. Sexual molestation is a specialty coverage, and it covers intention acts, as these acts cannot be unintentional, but it does require the insured to report circumstances that might lead to a claim in a timely manner. They are saying, if they were on this risk in 1997 as an example, maybe we cover 1997 backwards, notwithstanding the fact of the late reporting (and even this is doubtful), but 1998 and after? No way, no how never.

If the courts rule they most pay, a precedent will have been set, and everyone's cost for this coverage will increase significantly. It was priced to pay claims they are reported, and then thye can mandate certian things, like make employment changes, or we non-renew, with cause. We non-renew, because if you do not make employee changes, we know another claim is coming, and we cover clims, not certainity. These policies weren't priced with a multi-year cover up included, with no chance to mitigate the current, or future loss.

[hawkfan340]

How so? You really think I would make this stuff up? The one with the wall still standing put up a sign on the side of the road to advertise how well his insurance company was taking care of him. Shortly afterwards the company came to their senses and deemed the house a total loss. Feel free to ask anyone from Parkersburg if you doubt what I am saying.

Not all companies were like this, most were very good and took care of their customers right away.

Not saying you made it up... just that it might be a story that got passed through many ears/mouths and might not be totally accurate.

I have no idea, though. Could be perfectly accurate. From my experience, it sounds very out of the ordinary. People/companies of all stripes try to get a way with all kinds of stuff though so I don't know.

Contacting the Iowa Insurance Division is a good idea if you think you're getting ripped off.

[Golfer]

Contacting the Iowa Insurance Division is a good idea if you think you're getting ripped off.

Yes. Many take it to an attorney. Quickest way to get this dealt with is to write this letter. If that doesn't work, than maybe an attorney after that. That is, if you didn't bind yourself to arbitration. It's a contract. They made an offer, you accepted. In Iowa, Courts uphold agents to be nothing more than order takers, and also uphold the fact that policyholders need to actually read their policies.

[H8IAST8]

if I remember correctly American Family had a large share of the damaged houses.