WHAT CAN I DO WHEN AN INSURANCE COMPANY REFUSES TO PAY A CLAIM?

In some instances an insurance company will refuse to pay a claim submitted by its policyholder. This is often referred to as “denying” the claim. The claim may be denied, for example, because the company has determined that the loss is not a type that is “covered” by the terms of the insurance policy or that the person who suffered the loss is not an “insured” for purposes of the policy or that a policyholder engaged in some type of misconduct which “voided” the coverage. Because of the complexity of insurance policies and because the resolution of coverage disputes often depends on careful analysis of the unique facts and circumstances of each case in light of applicable state law, the assistance of an attorney experienced in the handling of insurance coverage matters is advised.

See also…

Healthcare Law Forum

Insurance Issues