Insurance Frauds Forum

This newly issued press release from the CDI is evidence that complaints do matter. If you are having trouble with an insurance company's claims department, the magic words, as seen below, are "UNFAIR CLAIMS PRACTICES" and "DEPARTMENT OF INSURANCE COMPLAINT". Although "Market Conduct Examinations" happen on a routine basis (about once every 5 years), numerous similar complaints will often trigger early exams. And when it comes to matters involving seniors, California is all over them.

Enjoy the reading!

WHAT YOU DON’T KNOW CAN HURT YOU – AVOID
EXPOSURE TO SEVERE PENALTIES

From the CA Department of Insurance -- August 19, 2011

NEWS RELEASE

Insurance Commissioner Jones Announces Sentencing of
Los Angeles Attorney for Insurance Fraud
Lawyer part of “Phantom menace” conspiracy to defraud Auto Insurance Companies

I have a friend used to work at Robinson's May and when it merged with Macy's in 2005 her Anthem Blue Cross Health Insurance was stopped because she lost benefits. The problem is that she was never notified that her health insurance was stopped. For this reason, she went in for a surgery that she had scheduled expecting her insurance to cover it. There was even a confirmation letter from the insurance that everything was on the go and that it would be covered.

WebCPA


The dangers of being "listed"
A warning for 419, 412i, Sec.79 and captive insurance

Accounting Today: October 25, 2010
By: Lance Wallach

Taxpayers who previously adopted 419, 412i, captive insurance or Section 79 plans are in
big trouble.

In recent years, the IRS has identified many of these arrangements as abusive devices to
funnel tax deductible dollars to shareholders and classified these arrangements as "listed
transactions."

I provided Prgressive insurance company all the details of my claim. They juggled me with different reps.And, at the end did not pay me the claim amount. Very unprofessional reps. Dont go with progressive.

Hi everyone,

I am an Insurance specialist. I want to share some information regarding the benefits of hiring an insurance specialist and how they help in getting your claim through successfully.

Insurance claims are very tricky. Due to lack of knowledge and expertise about the policies of insurance companies, claimants or policyholders are not able to successfully fight for their claim with them.

I drove by an auto insurance place and it had a window sticker that said $29 for auto insurance. Yet, when I went in, they quoted me a price of $125. Is that legal?

Thanks in advance for anything you can offer that will help me. six months ago I was involved in a terrible auto accident that I very well should have died in. My Ford Excursion rolled 4 times and I was then thrown (when the locked door opened) 40' which I sustained a broken back and right/left shattered arms/wrists/hands. Needless to say, it's been a difficult time and to top it off, my husband asked for a divorce one week prior to my accident and even though I almost died, still wanted it when I can home from hospital.

I make insurance payments through automatic bank withdrawls. I noticed that my last withdrawl was exceptionally high. I phoned my American Family Agent to ask about this and was told that since my adult daughter is now living with me she must be assigned to one of my vehicles as a drive and that this caused my premiums to rise. Not only was I not notified about this, it was done without my knowledge or consent. I explained that my daughter had her own vehicle and her own insurance policy through another company. I was told that this did not matter.