$1.3M
Health Insurance Denial
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Case Details
In November 2003, Doe was diagnosed with cancer. Soon after, she was denied treatment coverage by her provider. Doe sued her provider for bad faith. Her 55-year-old husband was also named as a plaintiff. The defendant provider claimed Doe misrepresented her weight when she filled out her application and as a result, her treatment was voided from coverage. The plaintiffs counsel countered that even if Doe misrepresented her weight, it did not preclude her from vitally needed coverage. Doe claimed she needed surgeries and chemotherapy treatment as a result of her cancer diagnosis. She claimed medical costs were $850,000.
Additional Notes
A $1,295,000 settlement was reached between the Parties in advance of binding arbitration.