Legal Question in Insurance Law in Idaho

Case Law on Non Payment by an Insurance Co after Preapproval

What is a good case to refer to regarding Blue Cross not payming a Claim after preapproval before the surgery and 10 before the policy was canceled by the employer due to closing of a buisness and not notifying the insured party.


Asked on 6/14/03, 1:10 am

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

Re: Case Law on Non Payment by an Insurance Co after Preapproval

You have two areas of concern: the insurer and the employer. Both may have liability here, for different as well as overlapping reasons.

You should contact an insurance attorney in your area to discuss both insurance law, the employer's responsibility for premium payments and notification (California has such laws) and agency law (the employer may be the insurer's agent) and the liability of the one is imposed on the other. Superimposed on this is a federal law (ERISA) which may or may not apply.

So see a knowledgeable lawyer.

Read more
Answered on 6/14/03, 3:35 pm


Related Questions & Answers

More Insurance Law questions and answers in Idaho