After an insurance company denies an appeal to claim. Under

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PostPosted: Tue Nov 10, 2009 9:27 pm   Post subject: After an insurance company denies an appeal to claim. Under   

After an insurance company denies an appeal to claim. Under ERISA the company is required to provide any requested document on the insured. I f the documents that are provided contridict with other documents provided are the signs of a cover-up. Would I have a case?? Who can I speak with , in Alabama or that can help.. & Do group Universal Policies categorize everyone in the group as just group members or do they separate them labeling genders: Male & Female.. And will this effect the policyholders premium payments..??
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PostPosted: Wed Nov 11, 2009 12:49 am   Post subject:   

You mentioned ERISA. ERISA only applies in the case of self-insured plans and Qualified Retirement Plans (QRPs). My feeling is that you're talking medical coverage here. Group plans through an insurer are under state (and some minor federal) laws.

Are you covered under a self-insured plan through your employer? Why do you feel that you're getting the run around?

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PostPosted: Wed Nov 11, 2009 7:41 am   Post subject:   

WHen my mother pass they give run around. and i have document in which she deem the mishandeling of funds in her accumulation fund..And this same reason CIGNA says 5 years later she lasped.She'd been paying for 17years
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