Legal Question in Insurance Law in California

COBRAserve paperwork

We completed and mailed COBRA election forms with a check for the first month's premium on 2/23. We have since paid for 2 more months. I began receiving EOB's denying claims in the middle of March. After many telephone calls, our insurance company was finally notified of our election to continue under COBRA, but the former employer had not sent all of the necessary forms. Since 4/15, the insurance company has made several attempts to contact the former employer and had no response. I have tried several times as well, and had no response. In the mean time, the insurance company is holding almost $8000 in claims that it has denied so they can reprocess them when this is all straightened out. Of course the hospitals and doctors that this money is owed to would like their money too. The former employer is not only jeopardizing our credit rating, but they are also jeopardizing our ability to get coverage for preexisting conditions under a new group policy, since we must prove continuous health insurance coverage. What more can I do?


Asked on 5/05/05, 4:22 pm

1 Answer from Attorneys
Steven Murray Steven W. Murray, APC

Re: COBRAserve paperwork

Get the forms the insurer needs from them, and go to the former employer and get them signed/filled out. If the former employer won't or can't, then fill them out yourself w/all required info. Then write a letter to the insurer explaining why the former employer won't do it but that you are giving them all necessary info to enable the conversion to take place. Do this asap.

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Answered on 5/09/05, 4:33 pm


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