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LAW

Cut off long-term disability in British Columbia? 3 things you must do

Long-term disability (LTD) benefits provide British Columbians who can’t work due to an illness or permanent injury with a crucial financial lifeline.

Instead of worrying about paying bills or putting food on the table, individuals are able to focus on their health and recovery.

Unfortunately, British Columbians are often cut off LTD benefits while they are still disabled – affecting their ability to get better and potentially worsening their condition.

READ MORE: Can my insurance company cut off my long-term disability benefits after I have been approved?

In many cases, insurance companies don’t have a legitimate reason for doing so. The reality is that insurers profit by denying disability claims and keeping your money.

If you have been cut off from LTD benefits in B.C., don’t lose hope. Here are three things you need to do.

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1. Ask your insurer to provide their decision in writing

In our experience, insurance companies often tell individuals over the phone that their disability benefits will be, or have been, cut off.

While most insurers send a denial letter after the call, don’t take any chances. Before hanging up, ask your case manager to provide you with the reasons for the decision in writing.

In addition to explaining why you are being cut off from LTD benefits, the denial letter should address the appeals process and the limitation period within which you can pursue a legal claim.

READ MORE: 3 reasons you shouldn’t appeal a denied long-term disability claim

As soon as you receive your insurance company’s decision in writing, contact an experienced disability lawyer at Samfiru Tumarkin LLP.

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Once we are formally hired to represent you, we can use the law to get your insurer to disclose every document relevant to your case. This

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INSURANCE

Star Health and Allied Insurance Company stocks: Buy Star Health and Allied Insurance Company, target price Rs 650: ICICI Direct

ICICI Direct has buy call on Star Health and Allied Insurance Company with a target price of Rs 650. The current market price of Star Health and Allied Insurance Company is Rs 586.55.

Star Health and Allied Insurance Company, incorporated in the year 2005, is a Large Cap company (having a market cap of Rs 34124.10 Crore) operating in Financial Services sector.

Star Health and Allied Insurance Company key Products/Revenue Segments include Premiums Earned, Interest & Dividend and Income From Sale Of Share & Securities for the year ending 31-Mar-2022.

Financials

For the quarter ended 31-12-2022, the company has reported a Standalone Total Income of Rs 3074.37 Crore, up 2.39 % from last quarter Total Income of Rs 3002.62 Crore and up 13.40 % from last year same quarter Total Income of Rs 2711.01 Crore. Company has reported net profit after tax of Rs 210.47 Crore in latest quarter.

The company’s top management includes Mr.Venkatasamy Jagannathan, Mr.Utpal Hemendra Sheth, Mr.Deepak Ramineedi, Mr.Berjis Minoo Desai, Mr.Rajeev Krishnamuralilal Agarwal, Mr.Rajni Sekhri Sibal, PadmashriKaarthikeyan Devarayapuram Ramasamy, Ms.Anisha Motwani, Mr.Rohit Bhasin, Mr.Anand Shankar Roy, Dr.Subbarayan Prakash, Mr.Sumir Chadha. Company has V Sankar Aiyar & Co. as its auditors. As on 31-03-2023, the company has a total of 58 Crore shares outstanding.

Investment Rationale
Market leader in retail health insurance segment (~33% market share) with potential for sustained business growth and, thus, earnings trajectory.

Promoter/FII Holdings
Promoters held 58.28 per cent stake in the company as of 31-Mar-2023, while FIIs owned 35.24 per cent, DIIs 1.44 per cent.

(Disclaimer: Recommendations given in this section or any reports attached herein are authored by an external party. Views expressed are that of the respective authors/entities. These do not represent the views of Economic Times (ET). ET does not guarantee, vouch for, endorse any of its contents and … Read the rest

INSURANCE

Medicaid benefit loss not expected to impact health insurers

An estimated 15 million people will lose their Medicaid benefits this month as a result of the expiration of U.S. government’s emergency pandemic measures. While there’s little doubt the Medicaid benefits loss – what health care industry nerds call “disenrollment” and “redeterminations” – will negatively impact health insurance company revenues, the effect won’t be substantial thanks to a corresponding reduction in claims expenses, according to credit analysts and other industry watchers.

In announcing better-than-expected first quarter earnings on Tuesday, the nation’s largest Medicaid insurer, Centene, said its Medicaid premium revenue would drop to $77 billion in 2024, compared to $84 billion in 2023, and its earnings per share estimates were trimmed to $6.60, down from $7.15 in previous forecasts.

The company squarely put the blame on “redeterminations” of the Medicaid enrollments but said it does not expect a long-term impact. However, it said that the average cost per member of the those retaining Medicaid coverage after redetermination will be somewhat higher than before – what the company called “acuity.” This is likely due to the setting of state payment rates under cost trends of the current Medicaid population.

Rate adjustments anticipated

“We now believe it is prudent to build in a more conservative view of the potential disconnect between rates and acuity that could manifest in some of our states in 2024,” said Centene’s CEO Sarah London. “We view any disconnect as a temporary one. We fully expect that states will ultimately provide sufficient rate adjustments to reflect any changes in acuity of the Medicaid population, but we are building a provision in our 2024 target in case there is a gap in timing in some of our states. In the long term, rate has always equaled acuity in Medicaid.”

Fitch Ratings, the leading provider of credit ratings for global

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LAW

How Personal Injury Lawyers Ease The Pain After An Accident

personal injury lawyers help after car accident insurance settlement


Many car accidents are reported yearly; you can be a driver or passenger victim. Recovery from a car accident is often a long process that can affect your financial and emotional and physical health. An accident will likely leave you with injuries, and contacting a personal injury lawyer will speed up your recovery process. Not only will this attorney pursue your compensation, but they will also be a very valuable asset during your recovery. This article looks at how a personal injury lawyer can make you and your family feel better after a car accident.

Speaks On Your Behalf After An Accident

A major car crash will likely leave you hospitalized and unaware of what is happening during the first and most vital examination of an accident. The police do the first accident investigation, and after you submit your claim, the insurance company carries out its investigation and largely depends on the report given by the police. Your attorney is your voice during this period because the police are supposed to be objective, while the insurance company is often interested in the kind of compensation you get.

Reliving an injury as you try to recover emotionally and physically can negatively affect your recovery process. your personal injury lawyer will visit the accident scene, talk to witnesses, carry out their investigation, and become your voice. The lawyer eases the pain of accounting for the accident as they are on your side.

Provides Access To Improved Medical Care

After an accident, one is often rushed to the nearest health facility so that one’s life can be saved. Sometimes, the medical care provided may need to be improved, and you may require a second opinion or services in another hospital. A personal injury lawyer will come in handy to ensure that

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INSURANCE

What You Should Know About Health Insurance Deductibles

Health insurance deductibles can be confusing.

They’re often one of the most misunderstood aspects of health insurance. Worst of all, they can impact your finances if you need help understanding how they work.

You must pay a deductible before your health insurance provider begins to fund its portion of covered medical costs. In other words, it’s the amount you spend on health care before your insurance kicks in.

So, how do you know whether your deductible is high or low? What is an appropriate health insurance deductible? And how do you decide which is best for you?

In this blog post, we’ll answer all those questions and more. Read on to learn all about health insurance deductibles.

How do health insurance deductibles work?

Before your insurance provider starts to pay for medical care, you must first pay a deductible. If your deductible is $1,000, for example, you will be responsible for the first $1,000 of covered medical costs. You must first pay a deductible before your insurance provider begins to pay for medical care.

Most people choose to have a deductible that they can afford to pay out-of-pocket if they need medical care. The higher your deductible is, the lower your premium (monthly cost) will be. A high deductible plan is sometimes called a “catastrophic” plan. It covers major medical expenses only after you have met your deductible.

Suppose you have a Health Savings Account (HSA) eligible plan. In that case, you may use tax-free money from your HSA to pay for your deductible and other out-of-pocket costs.

What’s a Deductible?

Before your insurance plan pays for medical services, you must first pay a deductible. If your deductible is $1,000, for example, you will be responsible

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LAW

How soon after an auto accident should you call a lawyer?

Following a car wreck, you may consider hiring a personal injury attorney to represent you. Although you can file a personal injury claim on your own, there are many cases in which you should contact an attorney to assist you. In a car accident that is not your fault, it’s generally a good idea to contact an attorney immediately. While auto accidents don’t always result in injuries, we suggest that you seek medical treatment after an accident in case there are underlying injuries that you don’t immediately notice.

In a minor auto accident such as a fender bender, your insurance claim can likely be handled directly by the other driver’s insurance company. However, there are cases involving minor accidents when an insurance company will refute liability or refuse to pay your claim. This is why you should consider retaining an attorney sooner rather than later. Generally, it’s not in your best interest to try and negotiate with a claims adjuster by yourself. An accident lawyer experienced in dealing with insurance companies and claims adjusters can negotiate on your behalf to get the compensation you need and protect your rights as an accident victim.

In other auto accident cases, you should contact an attorney immediately. If you were severely injured or a loved one was killed in an accident, it is imperative to talk with an experienced injury attorney as soon as possible after receiving medical attention. Time is of the essence, and a lawyer can take immediate action and begin investigating the accident. Oftentimes in accidents involving a large business or corporation, important pieces of evidence can go missing, which can be detrimental to your case. Preserving this evidence can be crucial in the success of your accident claim.

Accidents can be overwhelming, confusing and stressful. We

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INSURANCE

DNI awarded Health Insurance Company of the Year by Business Tabloid

Dubai, UAE: Dubai National Insurance (DNI), one of the leading Insurance Companies in Dubai, has been awarded ‘Health Insurance Company of the Year’ by Business Tabloid. The Annual Business Tabloid Awards recognizes and honors companies that strive to establish the finest organizational culture in their domestic and international economies. Business Tabloid is committed to identifying the most impactful businesses in critical industries, including insurance, banking, finance, technology, real estate, utility and energy leadership, transport, and logistics. A panel of industry experts selected the winners from a pool of highly qualified nominees.

Mr. Abdulla Al Nuaimi, Chief Executive Officer of Dubai National Insurance (DNI), said, “It was an honor to win the ‘Health Insurance Company of the Year’ Award by Business Tabloid. Our sincere gratitude goes to the hard-working organizers and the judges who facilitated a rigorous vetting process to ensure nominees are screened based on their merit in their efforts to foster and encourage businesses supporting the social and economic development of the UAE.”

He added: “At DNI, we have a long and reputable history of providing unique and bespoke health insurance solutions for individuals, SMEs and large corporate accounts coupled with innovation and technology. Our passion for our customers is underpinned by our earnest commitment to cultivating the well-being of our employees, all of whom are committed to designing the best healthcare solutions that cater to our client’s requirements and budgets while providing maximum benefits. This accolade and the growing recognition the company has received is a testament to our commitment to business growth and excellence.”

DNI is backed by the world’s top reinsurers, including Swiss Re, SCOR and Munich Re. Overall, DNI has grown by more than 25%, and the company remains optimistic about completing the year at a higher growth rate as we continue to cultivate strategic

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INSURANCE

Reports: 12 Oregon health insurance companies failed to fully comply with the Reproductive Health Equity Act

SALEM, Ore. (KTVZ) – All 12 health insurance companies in the individual, small group, and large group markets in Oregon failed to fully comply with the Reproductive Health Equity Act at varying levels, according to reports released Wednesday by the Oregon Department of Consumer and Business Services ‘Division of Financial Regulation.

The agency found that most noncompliance involved improperly charging copays, coinsurance, and deductibles or failing to cover mandated benefits.

The division examined Aetna Life Insurance Company, BridgeSpan Health Company, Cigna Health and Life Insurance Company, HealthNet Health Plan of Oregon, Kaiser Foundation Health Plan of the Northwest, Moda Health Plan, PacificSource Health Plans, Providence Health Plan, Regence BlueCross BlueShield of Oregon , Samaritan Health Plans, UnitedHealthcare Insurance Company, and UnitedHealthcare of Oregon.

The examinations found that each of the 12 insurers failed to pay all eligible claims according to RHEA requirements. They applied copays, coinsurance, and deductibles, which are prohibited under RHEA for reproductive health and preventive care services. In some cases, insurers improperly denied claims for RHEA covered services.

In addition, the report found that three insurers – Aetna, BridgeSpan, and Regence – failed to cover certain types of contraceptives or applied improper limitations in the amount or timing of when a member could refill a prescription.

Finally, examiners found that Cigna, HealthNet, Kaiser, and Samaritan each failed to properly resolve all consumer complaints and maintain adequate records demonstrating that they timely and adequately resolved member complaints, appeals, and complaints.

“RHEA is a critically important tool in the state’s effort to remove barriers to reproductive health care,” said Oregon Insurance Commissioner Andrew Stolfi, who is also the DCBS director. “As with every law, our insurers have an obligation to fully and timely implement each aspect of RHEA across all of their systems. It is disappointing to see

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LAW

How Can a Personal Injury Lawyer Help You Reach a Settlement?

Photo: pexels.com

Whether you suffered a car accident, a slip and fall, or any type of event that resulted in a personal injury, the party responsible for your injury can be held liable for your losses. With a personal injury lawyer by your side, you can recover the damages you are entitled to.

Contact a personal injury attorney in New York to learn more. Here is how a personal injury lawyer can help you fight your damages.

How a Personal Injury Lawyer Can Help

Having a lawyer by your side is a great benefit during legal disputes. Most personal injury cases settle outside the court, but this is mainly because of a lawyer’s negotiation skills, knowledge of the law, and how they build your case.

When working with a lawyer, you show that you mean business. The insurance company or the at-fault party knows that they can’t take advantage of you. In many instances, an insurance company might offer you less than what you deserve if you don’t have a lawyer.

An at-fault party might also tempt you not to pursue a personal injury claim by offering you money, but more often than not, that amount will be nowhere near what you actually deserve.

Someone who breaches their duty of care and ends up hurting you due to their negligence can be held accountable for your physical and emotional injuries. This is where a good lawyer can step in and showcase what you are truly owed.

Personal Injury Lawyers and Settlements

A personal injury lawyer can speak directly with the insurance company on your behalf to ensure that you receive the necessary support. They can gather reports and the evidence needed for your case and establish the true cost of your injuries.

Personal injury lawyers can speak with expert

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