Case Conclusion Date:April 8, 2013
Practice Area:Personal Injury
Outcome:Successful - all benefits paid and penalty interest and attorney fees!
Description:No-Fault Case involving the wrongful denial of benefits. Plaintiff was covered by Federal Health Plan and USAA was the no-fault insurance carrier. The carrier simply refused to pay benefits and alleged it was not primarily responsible for medical expenses. During litigation it was determined that there was no question USAA was responsible and via discovery iot was revealed that USAA management had made this determination early on .. but the assigned adjuster failed to read the determination. We were able to establish that the carrier acted unreasonably and we were able to to force payment of penalty attorney fees and interest.