April 30, 2024
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Risky Business

Risky Business

Copay issue

An insurer approved and promised payment for the surgery of a member of the Armed Forces, with a minor copay for the procedure. After surgery, the insurance company apparently ‘changed its mind’ leaving the insured with a whopping USD11000 bill. Having received multiple bills, the person went to a lawyer...

Rudolph was Here

A pedestrian was recently incapacitated when she was hit (believe it or not!) by a flying deer. A car hit a deer on the road near and the deer flew off the car and hit a pedestrian. The pedestrian had broken bones and was taken to hospital for treatment. What...

No Thanks Here!

A woman’s roof was allegedly damaged on Thanksgiving Day flood and facing thousands of dollars in repair after her insurer refused to pay for repairs. The insurer also accused the woman of pulling out the shingles on her roof as well. The insured’s basement flooded and got damaged when the...

Decades of fraud

A man was taken into custody for insurance fraud. He was found extracting money from his ex-wife’s insurance policies for than two decades, according to statements from the police. He was taken into custody and charged with three counts of second-degree forgery and three counts of third-degree identity theft, according...

Landmark case

Sometimes breaking the rules can lead to landmark rulings. A man was riding his tractor with his colleague. A freak accident upturned the vehicle leading to death for the man and minor injuries for his colleague. The man’s wife approached the tribunal seeking compensation. The tribunal ruled that the insurer...

Hit by a bridge

A claimant recently took a boat cruise that was operated by a touring company. The cruise passed seven low bridges and the guide present during the tour was required to caution the passengers to lower their heads. The claimant alleged that she hadn’t been warned of the last bridge and...

Stalker case

In an interesting case, a plaintiff alleged that he was hit on the head by an insured while he was lying on the beach. The insured said that she was carrying the paddleboard with her friend so there was no chance to drop it. She couldn’t understand this case till she...

‘Thorny fall’

A woman sued an insured’s restaurant after falling on cactus plants in the parking lot of the establishment. She claimed that she had sustained multiple injuries from the incident. The parking lot video showed an almost empty area. There were cactus plants in the landscaping near her car. The video...

Texting and driving

Two cars were involved in an accident. The woman who reported the accident said that she had seen the insured using a mobile phone in her rear view mirror, shortly after which she was hit. After the accident, the parties involved were exchanging information, when the woman accused the insured...

Nose job

A 19-year-old woman filed a work compensation claim after sustaining an injury while taking her break. Apparently she tried to lift a five-gallon bottle of water to replace the one in the water cooler. While lifting the bottle she slipped and the bottle fell on her face, breaking her nose...

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