Woman takes Assurant Insurance to court and wins big

Full story: Fox 31 KDVR 16
A Boulder County jury has awarded a Lafayette woman $37 million, and found her insurance company in breach of contract. Full Story
mikey2013

Rifle, CO

#2 Feb 2, 2010
And who says we do not need medical reform???? We need it cuz of cases like this were the innocent are prayed apon...if only they just paid the claim I think it woulda been cheaper then litigation...and deffinantly cheaper then a large judgement
crl

Arvada, CO

#3 Feb 2, 2010
let them appeal. when they lose again they can double what they are supposed to pay for being so incompetent. this lady deserves it.
cjrian

Denver, CO

#4 Feb 2, 2010
Lotto jackpots like this are one of the reasons that health insurance has become so expensive. I hope no one thinks the insurance company is REALLY paying this! The other insurance customers are through higher rates. A few payouts like this and the company will no longer exist, and who are the real losers in the end? The existing insured who will no longer have ANY coverage.

Since: Sep 09

Denver, Co

#5 Feb 2, 2010
This decision by the jury is the reform we need

Since: Sep 07

Golden

#6 Feb 2, 2010
I see both sides of this. CJ is right that huge awards like this are what drive up costs to everyone. BUT this was clearly an egregious abuse by the insurer to not just pay the reasonable claim these people paid premiums for, and it is the arrogance of these insurers that has opened the door for all this healthcare reform mess we have right now. Why these companies are exempt from anti-trust laws, allowing competition, is beyond me- let's start reform there, and weed out the poor performers in a market-based way. Then we will have a leg to stand on with tort reform.

Since: Sep 09

Denver, Co

#7 Feb 2, 2010
raysmom wrote:
I see both sides of this. CJ is right that huge awards like this are what drive up costs to everyone. BUT this was clearly an egregious abuse by the insurer to not just pay the reasonable claim these people paid premiums for, and it is the arrogance of these insurers that has opened the door for all this healthcare reform mess we have right now. Why these companies are exempt from anti-trust laws, allowing competition, is beyond me- let's start reform there, and weed out the poor performers in a market-based way. Then we will have a leg to stand on with tort reform.
Exactly, run them out of business, so then a company that is there for their client's will get the business and reap the rewards of being credible and forthright.
Julie Eisold

Denver, CO

#8 Feb 2, 2010
I "had" Assurant health. In August of 2009 I was tripped and I broke my right foot, they tried to deny paying my medical bills claiming it was a preexisting condition. I had previously had a broken ankle. I think this sends a huge message to Assurant Health...Pay our claims!
Politically Incorrect

Broomfield, CO

#9 Feb 2, 2010
A real win would also include taking those at Assurant that attempted to drop her and hang them.

Since: Sep 07

Golden

#10 Feb 2, 2010
A pre-existing broken foot- nice! LOL!

Hi, Karl. Yes, we need to be able to separate the wheat from the chaffe in these insurers. But another thing we need to realize, I think, is how many people are really abusing the system, and costing insurers literally billions in care for self-induced conditions. In our business, we know of many people, and we are small, but MANY people who were lifelong drinkers, smokers, drug-addicts, etc, who require over a million a year in care, and they get it, through private insurers and SS Disability. Want to sit on your butt all the time? Become a heroin addict- you won't have to pay child support, alimony, and you get to live free, with all the methadone you desire. Between the patients and the docs who live off of them, this is big business. So is dying. To avoid lawsuits, docs spend billions in tests and procedures in the last three months of life of people over 50 in this country. Tests and procedures that do nothing but CYA.

So, yes, the insurers need to pay their claims- we just had a colonoscopy claim denied because even though they SAY it is preventative, if they find a polyp, it becomes diagnostic, and they deny the claim. We went to a different company. We are lucky it didn't break us, but many aren't so fortunate, and there are so many abuses by docs, insurers, and the insured- it's hard to know where to start.
Not from Granby

Grand Lake, CO

#11 Feb 2, 2010
Assurant isn't the only insurance company that's crooked.

We don't need Obama's socialist brand of reform. There need to be serious consequences for insurance companies who mis-lead and deny legitimate claims but Obama reform is not the answer.
Stephi

Denver, CO

#12 Feb 2, 2010
Good for them!
Janice

Denver, CO

#13 Feb 2, 2010
It is about time that we had the tables turned on the medical insurance companies. I hear that they are always denying treatment to people with severe back issues, they would rather the client be addicted to heavy pain meds than treat the problems. I work in a medical setting and the denials on claims on extremely petty. they need a good slap in the face.
Exactly Janice

Denver, CO

#14 Feb 2, 2010
Janice wrote:
It is about time that we had the tables turned on the medical insurance companies. I hear that they are always denying treatment to people with severe back issues, they would rather the client be addicted to heavy pain meds than treat the problems. I work in a medical setting and the denials on claims on extremely petty. they need a good slap in the face.
You hit it right on the head Janice, I injured my back at work years ago FED Workman's comp they made me wait almost 2years for surgery, that made me worse..Now they won't pay for therapy ,massage even though My Dr. said it would help, or anything anymore it's like pulling teeth, sometimes my back and legs/shoulders hurts so bad I just want someone to rub them and they wont pay for it. except PAIN MEDS AND DR APPTS, the only one making any money off of my pain is the Dr. and the Pharmacy, My meds cost around $800.00 per month. Because the Fed government don't pay for back injuries to the employee unless it affected your legs/arms and then it's still not very much..
Mountain Man

Greeley, CO

#15 Feb 2, 2010
I am not for the current Health care plan but I do agree that this is BS. We do need reform just not a complete overhaul. we need to
Stop insurance company abuses
Stop the pre-existing condition denials
TORT Reform so that the fees are not so high
Insurance competition over state lines.
Tax incentives for middle and lower incomes to help pay for insurance.

The current plan did NOTHING for TORT reform.
Reasons

United States

#16 Feb 4, 2010
Got what they deserve YES!!!!!!!!!!
jennie lynne

Denver, CO

#17 Feb 5, 2010
Awards like this should not drive up primiums. The CEO's, executives can skip their bonus's and raises and try to manage their company in a way that takes care of their policy holders. This company was called before congress for resinding 151 million dollars in 5 years. They don't care about paying claims they care about making money.
Of course they will say it will drive up primiums. I call them on that. Insurance should not be about profit.

Tell me when this thread is updated:

Subscribe Now Add to my Tracker

Add your comments below

Characters left: 4000

Please note by submitting this form you acknowledge that you have read the Terms of Service and the comment you are posting is in compliance with such terms. Be polite. Inappropriate posts may be removed by the moderator. Send us your feedback.

Boulder County Discussions

Title Updated Last By Comments
T-C Line: Seniors are the ones we should be con... Aug 25 alienbhindu 1
State Attorneys General Defy Public Support for... Aug '14 DNF 115
CO Supreme Court orders Boulder County to stop ... Jul '14 WeTheSheeple 25
Senate passes highway bill, sends it back to House Jul '14 Le Jimbo 1
Colorado appeals court denies bid to block same... Jul '14 Belle Sexton 6
Dozens of Gay-Marriage Licenses Issued in Colorado Jul '14 WasteWater 17
Gay marriage showdown looms in Colorado Jul '14 buttandbust 16
•••

Boulder County People Search

Addresses and phone numbers for FREE

•••