Successful - all benefits paid and penalty interest and attorney fees!
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.
CL vs State Farm
Feb 01, 2011
Success-- State Farm reinstated all benefits
This was a no-fault claim in which the insurance company had paid attendant care benefits for nearly 30 years for our catastrophically injured Client. Then a new adjuster was assigned to the claim and benefits were terminated even though the claimant had not improved over the years and in fact according to the medical doctors was deteriorating. In the end State Farm reinstated all benefits and paid our Client's attorney fee. It should be noted that during this litigation State Farm was sanctioned on two occasions and had to pay Counsel's attorney fees and costs each time.
RA vs Prudential
The insurance company terminated benefits to my seriously ill client and after litigating this matter in Federal Court the Judge ruled in our favor that Prudential had wrongfully terminated benefits. Additionally, the Judge required Prudential to pay our Client's attorney fees as well.