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Author Topic: RW III suing insurance companies  (Read 7257 times)

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DukeOfPork

Re: RW III suing insurance companies
« Reply #50 on: May 02, 2018, 10:43:45 am »

No.  He was told it wasn't in his best interest to continue playing by his doctor.

And the insurance company will produce a letter from their doctor stating that in his opinion, Rawleigh can still play.

Then you go mediate this thing and settle for whatever you can get.
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ricepig

Re: RW III suing insurance companies
« Reply #51 on: May 02, 2018, 10:44:04 am »

None of us have any idea why the insurance company has rejected the claim.

"The reason you file these lawsuits is, for one, you paid for a product that was not given to you, which is simply unfair," Horton said.

"The lawsuit claims Williams entered into the policy on March 10, 2017, and that Lloyd's amended the policy last May -- after Williams suffered the injury that led to his retirement -- to include an endorsement that would exclude coverage of any injury that arose out of Williams' "spinal column and adjacent and related structures."

The lawsuit alleges Williams was made aware of this "endorsement 3" for the first time on May 9, 2017, by Boeving and was told he could decline the policy within 10 days and have his premiums returned. "


http://m.arkansasonline.com/news/2018/may/02/ex-hogs-rb-sues-for-unpaid-policy-20180/
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hog.goblin

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Re: RW III suing insurance companies
« Reply #52 on: May 02, 2018, 10:53:53 am »

Still the same basic principle. Look what's going on with our ex RB. Perfect example. They are in it to make $$$. If they gave in 100% to every honest and legit claim they probably wouldn't be in business. Actual fraud they have to fight every day doesn't help but the point remains.

In this case they may be able to settle for half price or less. Win for them.

Thatís why I said it should be a non-profit industry
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mhsbc59

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Re: RW III suing insurance companies
« Reply #53 on: May 02, 2018, 10:57:20 am »

Thatís why I said it should be a non-profit industry

i said that first but u did agree with me
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Grizzlyfan

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Re: RW III suing insurance companies
« Reply #54 on: May 02, 2018, 11:18:56 am »

Insurance companies are in the business of NOT paying out claims.  That is all part of their business model. 

Unfortunately, that disproportionately affects those who don't have the means and the intellect to fight it.
Well I don't really accept your basic premise.  But even if your premise is correct, my point remains.  None us know why this particular claim was rejected.
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colbs

Re: RW III suing insurance companies
« Reply #55 on: May 02, 2018, 11:20:12 am »

commercial side lol yall just scratchin each others backs or a better example would be its legal organized crime.  its the little man that always getts stuffed with the bill
ha, I donít mean to be rude but you have no idea what you are talking about.
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gustofwind

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Re: RW III suing insurance companies
« Reply #56 on: May 02, 2018, 11:26:41 am »

Insurance is there to cover risk.  The vast majority of insurance policies will pay IF the claim falls under the guidelines of the policy contract.  What happens most of the time is that individuals/companies do not read the contract and when they get a denial they state that they have be robbed.  Insurance policies are a contract, if you enter into a contract then then there will always be a winner on one side or the other if a claim was made, but ignorance to what you signed is not an argument you will win.  Now to address that insurance should be non-profit and not be saddled w/debt, seriously.  Again, it's a risk factor that so many choose to ignore.  your health is a risk, don't carry enough health insurance coverage and have a serious health event then you will have debt.  If you can't work after said event and have no income, that a risk easily covered by disability insurance.  Would you ever think of owning a home and not have an insurance policy? No one would, but they will will go w/o life,disability, and other coverages to save some money, which I understand unless you have chosen to have a 35k bass boat instead of protecting yourself and family.  If insurance operates in a not-for-profit/non-profit environment then you are living in a socialistic government.  And before someone states that I'm in the Insurance industry, the answer is no. 
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Boss Hog in the Arkansas

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Re: RW III suing insurance companies
« Reply #57 on: May 02, 2018, 11:29:12 am »

Wasn't there some rumors when Long was dismissed that this very topic was a part of his dismissal?
Yes
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mhsbc59

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Re: RW III suing insurance companies
« Reply #58 on: May 02, 2018, 11:34:46 am »

ha, I donít mean to be rude but you have no idea what you are talking about.

Maybe so but i have seen The Rain Maker
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Grizzlyfan

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Re: RW III suing insurance companies
« Reply #59 on: May 02, 2018, 11:34:58 am »

"The reason you file these lawsuits is, for one, you paid for a product that was not given to you, which is simply unfair," Horton said.

"The lawsuit claims Williams entered into the policy on March 10, 2017, and that Lloyd's amended the policy last May -- after Williams suffered the injury that led to his retirement -- to include an endorsement that would exclude coverage of any injury that arose out of Williams' "spinal column and adjacent and related structures."

The lawsuit alleges Williams was made aware of this "endorsement 3" for the first time on May 9, 2017, by Boeving and was told he could decline the policy within 10 days and have his premiums returned. "


http://m.arkansasonline.com/news/2018/may/02/ex-hogs-rb-sues-for-unpaid-policy-20180/
So the insurance company threw an exclusion into the policy after the injury occurred?

Did RWIII continue to practice/play after the injury was first discovered?
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mhsbc59

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Re: RW III suing insurance companies
« Reply #60 on: May 02, 2018, 11:38:48 am »

ha, I don't mean to be rude but you have no idea what you are talking about.

Also I have had to go back and pay a 600 medical bill that insurance originally payed for then decided they didn't want to cover it and the hospital sent me the bill 8 months after the fact.  Go figure that.
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ricepig

Re: RW III suing insurance companies
« Reply #61 on: May 02, 2018, 11:39:31 am »

So the insurance company threw an exclusion into the policy after the injury occurred?

Did RWIII continue to practice/play after the injury was first discovered?

The first injury? Yes, he played after being injured in 2015 against Auburn. The policy was taken out in March 2017, he was injured again in April 2017, the policy was sent back to the family in May, 2017.
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colbs

Re: RW III suing insurance companies
« Reply #62 on: May 02, 2018, 11:46:42 am »

Maybe so but i have seen The Rain Maker
Well thatís a movie... After watching Boiler Room I didnít think all stock brokers or investment firms were crooks.
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colbs

Re: RW III suing insurance companies
« Reply #63 on: May 02, 2018, 11:49:00 am »

Also I have had to go back and pay a 600 medical bill that insurance originally payed for then decided they didn't want to cover it and the hospital sent me the bill 8 months after the fact.  Go figure that.
Well again Iím on the commercial side and not the heathcare side. 
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mhsbc59

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Re: RW III suing insurance companies
« Reply #64 on: May 02, 2018, 11:49:54 am »

Insurance is there to cover risk.  The vast majority of insurance policies will pay IF the claim falls under the guidelines of the policy contract.  What happens most of the time is that individuals/companies do not read the contract and when they get a denial they state that they have be robbed.  Insurance policies are a contract, if you enter into a contract then then there will always be a winner on one side or the other if a claim was made, but ignorance to what you signed is not an argument you will win.  Now to address that insurance should be non-profit and not be saddled w/debt, seriously.  Again, it's a risk factor that so many choose to ignore.  your health is a risk, don't carry enough health insurance coverage and have a serious health event then you will have debt.  If you can't work after said event and have no income, that a risk easily covered by disability insurance.  Would you ever think of owning a home and not have an insurance policy? No one would, but they will will go w/o life,disability, and other coverages to save some money, which I understand unless you have chosen to have a 35k bass boat instead of protecting yourself and family.  If insurance operates in a not-for-profit/non-profit environment then you are living in a socialistic government.  And before someone states that I'm in the Insurance industry, the answer is no. 

Must be a lawyer then using words to mess people over.  How is it right that you can pay insurance never miss a payment never have a problem.  then the one time you have to use it they say no. Or sorry you didn't meet the deductible, or year you got hurt on new years eve and you deductible rolled over. BS  Having insurance is great until they decided to drop you after years of you giving them money and then when you need some of that back they say we changed our policy sorry.  As to non profit being socialist lots of non government run companies operate under non profit it doesn't mean yo don't pay the people that work for you it just means all the money goes to your policy holders when they have legit claims
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ricepig

Re: RW III suing insurance companies
« Reply #65 on: May 02, 2018, 11:52:08 am »

Must be a lawyer then using words to mess people over.  How is it right that you can pay insurance never miss a payment never have a problem.  then the one time you have to use it they say no. Or sorry you didn't meet the deductible, or year you got hurt on new years eve and you deductible rolled over. BS  Having insurance is great until they decided to drop you after years of you giving them money and then when you need some of that back they say we changed our policy sorry.  As to non profit being socialist lots of non government run companies operate under non profit it doesn't mean yo don't pay the people that work for you it just means all the money goes to your policy holders when they have legit claims

What do you think the premiums would be, for every type of insurance, if there wasn't someone willing to take the risk by writing the policy?
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mhsbc59

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Re: RW III suing insurance companies
« Reply #66 on: May 02, 2018, 11:52:17 am »

Well thatís a movie... After watching Boiler Room I didnít think all stock brokers or investment firms were crooks.

after 2008 i would think that they are.  LOL come on I'm messing with you about your post but not about what i said originally.
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Grizzlyfan

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Re: RW III suing insurance companies
« Reply #67 on: May 02, 2018, 11:59:06 am »

The first injury? Yes, he played after being injured in 2015 against Auburn. The policy was taken out in March 2017, he was injured again in April 2017, the policy was sent back to the family in May, 2017.
Thanks. 
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mhsbc59

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Re: RW III suing insurance companies
« Reply #68 on: May 02, 2018, 12:01:51 pm »

What do you think the premiums would be, for every type of insurance, if there wasn't someone willing to take the risk by writing the policy?

IDK you tell me how it is OK that Insurance companies can decide they want to change your policy after the fact that better suits them because they come to realize its not what is best for them.
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mhsbc59

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Re: RW III suing insurance companies
« Reply #69 on: May 02, 2018, 12:04:02 pm »

Well again Iím on the commercial side and not the heathcare side. 

is this whole topic not about health and RW III, I just happen to think more than the health side is messed up
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Jackrabbit Hog

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Re: RW III suing insurance companies
« Reply #70 on: May 02, 2018, 12:21:37 pm »

Well thatís a movie... After watching Boiler Room I didnít think all stock brokers or investment firms were crooks.

Stock brokers and investment firms are the worst.  My wife's in the industry, on the compliance side.  Trust me; there's no sleazier industry.

Somebody mentioned mediation of this lawsuit earlier.  I'm available!  And not the least bit biased about this.
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ricepig

Re: RW III suing insurance companies
« Reply #71 on: May 02, 2018, 12:29:39 pm »

Stock brokers and investment firms are the worst.  My wife's in the industry, on the compliance side.  Trust me; there's no sleazier industry.

Somebody mentioned mediation of this lawsuit earlier.  I'm available!  And not the least bit biased about this.

My oldest works for a private equity investment banking and wealth management firm, I've been appalled that I can't get any insider trading into from him.
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Pig in the Pokey

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Re: RW III suing insurance companies
« Reply #72 on: May 02, 2018, 12:44:07 pm »

Thatís why I said it should be a non-profit industry
as should-
Basic Housing
Health care
Staple food items

But, good luck convincing the House Hands of Big Daddy of that.
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Pig in the Pokey

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Re: RW III suing insurance companies
« Reply #73 on: May 02, 2018, 12:44:59 pm »

My oldest works for a private equity investment banking and wealth management firm, I've been appalled that I can't get any insider trading into from him.
you must be unwilling to grease the right hands....
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Shorttimer

Re: RW III suing insurance companies
« Reply #74 on: May 02, 2018, 12:58:31 pm »

Socialized insurance . . . now there's an idea that's never been tried before.  Claims money will rain down like pixie dust.

Insurance is just a contract.  None of us know the terms of RWIII's contract with Loyd's, but companies with Loyd's reputation don't reject claims unless they think the contract doesn't cover it.  If Loyd's was attempting to add an endorsement ex post facto, they're going to have to pay.  It might just be a legitimate dispute that needs to be resolved judicially.

But I guess it's more fun to jump to the conclusion that all insurance companies are trying to screw you.
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DukeOfPork

Re: RW III suing insurance companies
« Reply #75 on: May 02, 2018, 01:00:49 pm »

Well I don't really accept your basic premise.  But even if your premise is correct, my point remains.  None us know why this particular claim was rejected.

My point is that insurance companies have tons of lawyers on staff to find legal reasons to NOT pay out. 

They are not a charity.  They are a business and the more claims that they can avoid paying, the higher their profits.
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hoglady

Re: RW III suing insurance companies
« Reply #76 on: May 02, 2018, 01:02:42 pm »

IDK you tell me how it is OK that Insurance companies can decide they want to change your policy after the fact that better suits them because they come to realize its not what is best for them.

My guess is the insurance company is going to say the policy was being underwritten for approval and the policy in it's current form was deemed not an acceptable risk - thus the addendum requirement.

(Just like when you apply for life insurance and it's sent to the underwriter for approval - is the policy in force prior to being underwritten and approved?)
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Jackrabbit Hog

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Re: RW III suing insurance companies
« Reply #77 on: May 02, 2018, 01:07:33 pm »

My oldest works for a private equity investment banking and wealth management firm, I've been appalled that I can't get any insider trading into from him.

Ran into him the other day.  Strange, but he was more than happy to give me insider info.
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Inhogswetrust

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Re: RW III suing insurance companies
« Reply #78 on: May 02, 2018, 01:19:18 pm »

all insurance should be non profit.

yes. Everything should be socialism...........
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Inhogswetrust

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Re: RW III suing insurance companies
« Reply #79 on: May 02, 2018, 01:24:59 pm »

Insurance companies are in the business of NOT paying out claims.  That is all part of their business model. 

Unfortunately, that disproportionately affects those who don't have the means and the intellect to fight it.

I have no problem with insurance companies making a profit. Claims are their cost of doing business and thatís fine as well. I do have a problem with a service industry, and thatís what they are in effect, not provided good honest, open, transparent service. Most do not. Especially internet sales type.
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mhsbc59

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Re: RW III suing insurance companies
« Reply #80 on: May 02, 2018, 01:28:24 pm »

Socialized insurance . . . now there's an idea that's never been tried before.  Claims money will rain down like pixie dust.

Insurance is just a contract.  None of us know the terms of RWIII's contract with Loyd's, but companies with Loyd's reputation don't reject claims unless they think the contract doesn't cover it.  If Loyd's was attempting to add an endorsement ex post facto, they're going to have to pay.  It might just be a legitimate dispute that needs to be resolved judicially.

But I guess it's more fun to jump to the conclusion that all insurance companies are trying to screw you.

They are i have payed them way more than they ever paied me..... this is s joke but i still dont care for how they opporate
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gustofwind

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Re: RW III suing insurance companies
« Reply #81 on: May 02, 2018, 01:28:41 pm »

Must be a lawyer then using words to mess people over.  How is it right that you can pay insurance never miss a payment never have a problem.  then the one time you have to use it they say no. Or sorry you didn't meet the deductible, or year you got hurt on new years eve and you deductible rolled over. BS  Having insurance is great until they decided to drop you after years of you giving them money and then when you need some of that back they say we changed our policy sorry.  As to non profit being socialist lots of non government run companies operate under non profit it doesn't mean yo don't pay the people that work for you it just means all the money goes to your policy holders when they have legit claims

Nope, not a lawyer.  I'm just someone operates under the assumption to the worse can always happen and be prepared when it does, called peace of mind. I assure you, reputable Insurance companies will pay their claim if it falls under the contract guidelines, they may drop you after a claim, but generally after you have been paid.  They are a business and like another business they have to manage their risk as well, that's why you have contract periods, ie... January 1 start date for health insurance.  They sometimes can change the wording while a contract is in force(if allowed by the state) but you will be contacted(mail) to be made aware of this, you may choose to read it or throw it away but that's not the insurance companies issue.
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Inhogswetrust

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Re: RW III suing insurance companies
« Reply #82 on: May 02, 2018, 01:28:54 pm »

Insurance is there to cover risk.  The vast majority of insurance policies will pay IF the claim falls under the guidelines of the policy contract.  What happens most of the time is that individuals/companies do not read the contract and when they get a denial they state that they have be robbed.  Insurance policies are a contract, if you enter into a contract then then there will always be a winner on one side or the other if a claim was made, but ignorance to what you signed is not an argument you will win.  Now to address that insurance should be non-profit and not be saddled w/debt, seriously.  Again, it's a risk factor that so many choose to ignore.  your health is a risk, don't carry enough health insurance coverage and have a serious health event then you will have debt.  If you can't work after said event and have no income, that a risk easily covered by disability insurance.  Would you ever think of owning a home and not have an insurance policy? No one would, but they will will go w/o life,disability, and other coverages to save some money, which I understand unless you have chosen to have a 35k bass boat instead of protecting yourself and family.  If insurance operates in a not-for-profit/non-profit environment then you are living in a socialistic government.  And before someone states that I'm in the Insurance industry, the answer is no. 

One of my favorite classes at the UA was Risk Management. One thing I learned is insurance company sales people make eveything sound simple. However if you try to read the contract it usually reads like a novel the length of War and Peace as well as written in a language that only a lawyer or English professor can understand fully.
« Last Edit: May 02, 2018, 02:49:10 pm by Inhogswetrust »
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ricepig

Re: RW III suing insurance companies
« Reply #83 on: May 02, 2018, 01:32:06 pm »

Ran into him the other day.  Strange, but he was more than happy to give me insider info.

Looks like I'm going to have to kill his trust account, that'll teach him!
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mhsbc59

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Re: RW III suing insurance companies
« Reply #84 on: May 02, 2018, 01:33:31 pm »

My guess is the insurance company is going to say the policy was being underwritten for approval and the policy in it's current form was deemed not an acceptable risk - thus the addendum requirement.

(Just like when you apply for life insurance and it's sent to the underwriter for approval - is the policy in force prior to being underwritten and approved?)

to me they should be honored the minute you sign for as long as the term states and never be subject to change in that time frame
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ricepig

Re: RW III suing insurance companies
« Reply #85 on: May 02, 2018, 01:34:42 pm »

to me they should be honored the minute you sign for as long as the term states and never be subject to change in that time frame

Should the bank give you a loan the minute you fill out the application?
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mhsbc59

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Re: RW III suing insurance companies
« Reply #86 on: May 02, 2018, 01:38:31 pm »

Nope, not a lawyer.  I'm just someone operates under the assumption to the worse can always happen and be prepared when it does, called peace of mind. I assure you, reputable Insurance companies will pay their claim if it falls under the contract guidelines, they may drop you after a claim, but generally after you have been paid.  They are a business and like another business they have to manage their risk as well, that's why you have contract periods, ie... January 1 start date for health insurance.  They sometimes can change the wording while a contract is in force(if allowed by the state) but you will be contacted(mail) to be made aware of this, you may choose to read it or throw it away but that's not the insurance companies issue.

This is not right and should never be allowed
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mhsbc59

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Re: RW III suing insurance companies
« Reply #87 on: May 02, 2018, 01:40:52 pm »

Should the bank give you a loan the minute you fill out the application?

If im making payments and its not fraud i should get paid on my claim
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gustofwind

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Re: RW III suing insurance companies
« Reply #88 on: May 02, 2018, 01:41:07 pm »

One of my favorite classes at the UA was Risk Management. One thing I learned is insurance company sales people make eveyth8ng sound simple. However if you try to read the contract it usually reads like a novel the length of War and Peace as well as written in a language that only a lawyer or English professor can understand fully.

I agree w/you on the Agent part but the burden of understanding isn't wholly on the insurance company but on the consumer, burden of litigation is one the insurance company, thus written as you state.
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gustofwind

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Re: RW III suing insurance companies
« Reply #89 on: May 02, 2018, 01:43:07 pm »

This is not right and should never be allowed

That's a state insurance commission issue for allowing it.  Generally only done when it's a matter of solvency, rarely happens.
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mhsbc59

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Re: RW III suing insurance companies
« Reply #90 on: May 02, 2018, 01:43:14 pm »

I agree w/you on the Agent part but the burden of understanding isn't wholly on the insurance company but on the consumer, burden of litigation is one the insurance company, thus written as you state.

spoken like a smart butt trying to mess people out of hard earned cash
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Razorbackers

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Re: RW III suing insurance companies
« Reply #91 on: May 02, 2018, 01:43:44 pm »

Insurance is there to cover risk.  The vast majority of insurance policies will pay IF the claim falls under the guidelines of the policy contract.  What happens most of the time is that individuals/companies do not read the contract and when they get a denial they state that they have be robbed.  Insurance policies are a contract, if you enter into a contract then then there will always be a winner on one side or the other if a claim was made, but ignorance to what you signed is not an argument you will win.  Now to address that insurance should be non-profit and not be saddled w/debt, seriously.  Again, it's a risk factor that so many choose to ignore.  your health is a risk, don't carry enough health insurance coverage and have a serious health event then you will have debt.  If you can't work after said event and have no income, that a risk easily covered by disability insurance.  Would you ever think of owning a home and not have an insurance policy? No one would, but they will will go w/o life,disability, and other coverages to save some money, which I understand unless you have chosen to have a 35k bass boat instead of protecting yourself and family.  If insurance operates in a not-for-profit/non-profit environment then you are living in a socialistic government.  And before someone states that I'm in the Insurance industry, the answer is no.

*person walks into insurance office*

Give me the cheapest coverage you can for my home

*bad thing happens to home*

WHAT DO YOU MEAN IT ISN'T FULLY COVERED AT REPLACEMENT COST
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Jackrabbit Hog

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Re: RW III suing insurance companies
« Reply #92 on: May 02, 2018, 01:45:14 pm »

I agree w/you on the Agent part but the burden of understanding isn't wholly on the insurance company but on the consumer, burden of litigation is one the insurance company, thus written as you state.

I'm not sure what you mean by the burden of litigation.  If an aggrieved consumer wants to sue his/her insurance company, the burden of proof is on the plaintiff to prove his/her allegations.
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mhsbc59

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Re: RW III suing insurance companies
« Reply #93 on: May 02, 2018, 01:46:51 pm »

*person walks into insurance office*

Give me the cheapest coverage you can for my home

*bad thing happens to home*

WHAT DO YOU MEAN IT ISN'T FULLY COVERED AT REPLACEMENT COST

Thats not the issue being discussed the issue i Insurance company looking for ways out of paying legit claims
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Razorbackers

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Re: RW III suing insurance companies
« Reply #94 on: May 02, 2018, 01:49:22 pm »

Thats not the issue being discussed the issue i Insurance company looking for ways out of paying legit claims

people getting mad about insurance companies denying claims when they don't know or understand the policy in hand seems to fit right into this thread since no one here has a copy of the insurance policy in question.
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gustofwind

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Re: RW III suing insurance companies
« Reply #95 on: May 02, 2018, 01:50:58 pm »

I'm not sure what you mean by the burden of litigation.  If an aggrieved consumer wants to sue his/her insurance company, the burden of proof is on the plaintiff to prove his/her allegations.

That is correct and poor wording on my part. But, is there still not an expense for insurance company through man hours researching said claim and billable hours if it hits the courtroom?  Should have said burden of cost in defending its contract.
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wildturkey8

Re: RW III suing insurance companies
« Reply #96 on: May 02, 2018, 01:55:25 pm »

Insurance companies are not popular.  The answer by the defendant should be interesting.
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ricepig

Re: RW III suing insurance companies
« Reply #97 on: May 02, 2018, 01:55:33 pm »

If im making payments and its not fraud i should get paid on my claim

Yes, if the policy is in full force. Everyone always skips over the finite details. This appears to be a "he said, she said", hopefully for Rawleigh's stake, he's fully covered and will be paid. Making a payment does not indicate the policy has been approved by the underwriters, it's usually part of the application process, or has been in my business dealings. I never drop my coverage from company to another until I'm assured the policy is in full force.
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mhsbc59

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Re: RW III suing insurance companies
« Reply #98 on: May 02, 2018, 01:59:57 pm »

Yes, if the policy is in full force. Everyone always skips over the finite details. This appears to be a "he said, she said", hopefully for Rawleigh's stake, he's fully covered and will be paid. Making a payment does not indicate the policy has been approved by the underwriters, it's usually part of the application process, or has been in my business dealings. I never drop my coverage from company to another until I'm assured the policy is in full force.

whoever came up with fine print should have had the intrails ripped out. no contract should ever be more than 1 page.
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ricepig

Re: RW III suing insurance companies
« Reply #99 on: May 02, 2018, 02:02:10 pm »

whoever came up with fine print should have had the intrails ripped out. no contract should ever be more than 1 page.

Lol, sounds good in theory, but J'Rabb wouldn't have a job, or that one page would be 10ft long......
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