Close Menu
Your Information Source for Insurance Coverage Denials & Disputes

Navigating insurance claims is complicated, and dealing with denials is frustrating to say the least. Learn what you need to know here to be successful on your claim.

  • Email
  • Facebook
  • Twitter
  • Pinterest

California Hospital Association Challenges State's Health Care Cost Targets in Court

Posted by: Insurance | News Desk November 11, 2025
Featured Image

On October 15, 2025, the California Hospital Association (CHA) filed a lawsuit against the California Office of Health Care Affordability (OHCA) in the Superior Court of San Francisco. The CHA alleges that OHCA's newly established cost targets for hospitals violate state law by neglecting to consider critical factors such as health care access, workforce stability, and service quality. The lawsuit seeks a writ of mandate to compel OHCA to comply with legislative requirements and a declaratory judgment to invalidate the current cost targets. Read More

Has Your Insurance Claim Been Denied?

Contact Us Today To Learn About Your Legal Options
  • Email
  • Facebook
  • Twitter
  • Pinterest

Supreme Court Affirms ACA’s Preventive Care Requirement

Posted by: Insurance | News Desk July 18, 2025
Featured Image

On June 27, 2025, in Kennedy v. Braidwood Management, Inc., the U.S. Supreme Court issued a pivotal 6–3 ruling upholding a key provision of the Affordable Care Act (ACA). The Court maintained that private health plans must continue covering a range of preventive services, including cancer screenings, heart-health medications, immunizations, and HIV prevention drugs like PrEP, without any cost-sharing for patients. The core constitutional challenge centered on the U.S. Preventive Services Task Force (USPSTF), a panel empowered by the ACA to determine which preventive services deserve “A” or “B” ratings and, therefore, mandatory coverage. Plaintiffs argued that task force members were “principal officers” who must be appointed by the President and confirmed by the Senate under the Constitution’s Appointments Clause. They contended that the panel’s recommendations were legally binding, not advisory, making compliance with Senate confirmation necessary... Read More

  • Email
  • Facebook
  • Twitter
  • Pinterest

Life Insurance Company Denies Claim Based on Policyholder’s Alleged Misrepresentation of Drinking History

Posted by: Insurance | News Desk February 25, 2025
Featured Image

On July 9, 2024, the United States District Court for the Middle District of Georgia issued a pivotal ruling in the case of Blalock v. Pacific Life Insurance Company. The dispute centered on two life insurance policies, each valued at $1 million, issued by Pacific Life on the life of Jimmie Long. Following Long's death in a collision with a drunk driver on May 24, 2022—within the policies' two-year contestability period—Pacific Life denied the claim, alleging material misrepresentations in Long's application regarding his alcohol consumption history. Read More

  • Email
  • Facebook
  • Twitter
  • Pinterest

Unum Life Insurance Company Told to Reform Company Practice on Evidence of Insurability

Posted by: Insurance | News Desk October 31, 2024
Featured Image

Requiring proof of good health, also known as evidence of insurability, is a long-held standard practice across the life insurance industry. Uncontroversial on its face, the practice has fallen under scrutiny in recent years as it has come to light that insurance companies have routinely accepted applications without verifying insurability and only later – after the death of the insured – refusing to pay the claim on the grounds that it did not receive proof of insurability during the application process. These denials could come after years of accepting premium payments and are considered to be unfair, unlawful, or even a bad faith insurance practice. Read More

View More Posts