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jberryhill

(62,444 posts)

94. Health insurance isn't going to pay jack if there is insured liability elsewhere

Reply to pnwmom (Reply #92)

Tue Oct 13, 2015, 01:29 PM

Oct 2015

The homeowner's carrier is obviously refusing to reimburse the health insurer.

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Would you sue your 8-year old nephew or niece for $127,000 for accidentally breaking your wrist [View all] Nye Bevan Oct 2015 OP

Let me guess. His family is wealthy. yardwork Oct 2015 #1

I'm thinking East 73rd between Fifth and Park. KamaAina Oct 2015 #62

His family lives in Westport CT so chances are good. Gormy Cuss Oct 2015 #73

Or has a good homeowners policy? Still, this is awful. n/t pnwmom Oct 2015 #86

mother's life insurance policy? eShirl Oct 2015 #152

"difficult to hold my hors d'oevres plate" I keep repeating that phrase and can't stop thinking.. BlueJazz Oct 2015 #2

It also makes it hard for her to gesture derisively at street urchins Orrex Oct 2015 #46

Have YOU ever tried to put a diamond-encrusted bracelet on over a cast? Warren DeMontague Oct 2015 #138

Agree it sounds kind of bad... Whiskeytide Oct 2015 #3

A human resources manager without health insurance? Or is she just going for an LiberalArkie Oct 2015 #60

A home owner without homeowner's insurance? jberryhill Oct 2015 #67

Her health insurance has probably already paid her, her insurance is trying to recoup LiberalArkie Oct 2015 #69

Probably suing so that the homeowner's insurance geek tragedy Oct 2015 #4

Yeah, but she still wound up dragging the poor kid to court. GoCubsGo Oct 2015 #6

No, there isn't a better way jberryhill Oct 2015 #14

If she only wanted her medical bills paid, this would have been finished 4 years ago. Nye Bevan Oct 2015 #16

"would have then settled the claims with the homeowner's insurer" jberryhill Oct 2015 #20

You're right about that. Even with today's exorbitant costs, a broken wrist isn't $127K. catbyte Oct 2015 #38

What is the projected future cost of physical therapy? jberryhill Oct 2015 #49

In my area of the country, a PT appointment is $120 without insurance. That's a lot of PT for a catbyte Oct 2015 #53

�I was at a party recently and it was difficult to hold my hors d�oeuvres plate� NobodyHere Oct 2015 #126

My sister's broken ankle:$25,000 surgery redwitch Oct 2015 #140

I have told my friends that if they get hurt on my property and insurance won't help then: "sue me". ieoeja Oct 2015 #43

Ding, ding, ding... we have a winner jberryhill Oct 2015 #45

That's exactly what happened between my dad and one of his grandkids. procon Oct 2015 #99

That's the vile part. Gormy Cuss Oct 2015 #74

Indeed they do jberryhill Oct 2015 #113

"In court Friday, the boy, now 12 years old, appeared confused as he sat with his father...." Nye Bevan Oct 2015 #7

That's an easy claim to make when you don't have to pay the medical bills. (nt) jeff47 Oct 2015 #59

I too... LanternWaste Oct 2015 #119

I thought this was from "The Onion" at first. GoCubsGo Oct 2015 #5

Nothing is wrong with this woman jberryhill Oct 2015 #15

She could have sued the kid's father instead. GoCubsGo Oct 2015 #22

His father didn't injure her jberryhill Oct 2015 #33

I can't believe that a broken wrist would cost $127K. It didn't say anything about catbyte Oct 2015 #40

You'd be wrong Goblinmonger Oct 2015 #155

He owns the property where his minor child, GoCubsGo Oct 2015 #41

His property didn't cause the injury... jberryhill Oct 2015 #44

Yes, the insurance should cover the claim if it is a minor child. GoCubsGo Oct 2015 #52

That's not how law works jberryhill Oct 2015 #55

Dora and the grocery cart. February 1991 multistate bar exam. Ms. Toad Oct 2015 #200

The injury occurred on the father's property therefore I would see no avebury Oct 2015 #79

That is correct jberryhill Oct 2015 #82

This isn't a workers comp case. Health insurers don't make exceptions for accidents pnwmom Oct 2015 #89

Who cares where she lives? jberryhill Oct 2015 #91

Yes, I realized that and changed the post. But you seem to be among the group who thinks pnwmom Oct 2015 #92

Health insurance isn't going to pay jack if there is insured liability elsewhere jberryhill Oct 2015 #94

The other equally likely possibility pnwmom Oct 2015 #96

That's possible too, but what is this "going after" nonsense? jberryhill Oct 2015 #97

How is it that you seem to know exactly what's going on based on no evidence? kcr Oct 2015 #142

Psst... I'll tell you a secret... jberryhill Oct 2015 #143

You know this kid personally? n/t kcr Oct 2015 #146

His mother died last year. yardwork Oct 2015 #153

I have received at least 3 inquiries from the subrogation department of my health insurance. Ms. Toad Oct 2015 #201

If you were this woman and you got such a claim pnwmom Oct 2015 #202

My description of what happened would have been in my medical record. Ms. Toad Oct 2015 #203

Yes, I've always had my guard up, too. But this woman's testimony pnwmom Oct 2015 #204

In order for her to have her medical bills paid, Ms. Toad Oct 2015 #205

Well, this has been an education and a good warning to keep up my policy pnwmom Oct 2015 #207

Yep. People keep crying about why is she asking for amounts a over her actual medical bills. Hassin Bin Sober Oct 2015 #208

Since when? n/t kcr Oct 2015 #136

Since insurance companies have become more aggressive in laying off..... Hassin Bin Sober Oct 2015 #144

That's not what the post I was responding to claimed kcr Oct 2015 #145

It is simply knowing how these things work jberryhill Oct 2015 #178

Check it out kcr Oct 2015 #197

You are confused jberryhill Oct 2015 #179

You were right. The aunt said this to the NYTimes today. yardwork Oct 2015 #175

It's not about being psychic jberryhill Oct 2015 #176

Complete with quotes that make the plaintiff sound evil. yardwork Oct 2015 #177

She has employer related health insurance. So why is she trying to get this covered pnwmom Oct 2015 #181

But why is she trying to get her homeowners policy to pay for her medical bills? pnwmom Oct 2015 #180

Her insurance company was only willing to pay $1 of her medical bills. PeaceNikki Oct 2015 #183

Her HOMEOWNER"s policy. But she had health insurance through her employer. pnwmom Oct 2015 #184

Not her homeowner policy, her medical insurance wouldn't pay because it was an accident PeaceNikki Oct 2015 #185

Her attorney said it was her HOMEOWNER's policy. I gave you the link. pnwmom Oct 2015 #187

You are misreading it. The CASE was about getting the KID'S homeowner policy to pay PeaceNikki Oct 2015 #188

Please show me a single article where it says her health insurance pnwmom Oct 2015 #189

Oh, ffs. PeaceNikki Oct 2015 #190

She's had two surgeries so far jberryhill Oct 2015 #186

Yup. I hope the person you replied to reads this because they are clearly not up to speed PeaceNikki Oct 2015 #192

I may have missed something TeddyR Oct 2015 #129

Happens all the time Goblinmonger Oct 2015 #156

But she wasn't hurt at work, so workers comp rules don't apply. pnwmom Oct 2015 #182

Well you should have testified in court as an expert witness. Hassin Bin Sober Oct 2015 #191

The Court ruled that the boy wasn't at fault without my help. n/t pnwmom Oct 2015 #194

It's probably for the best. Hassin Bin Sober Oct 2015 #196

I already addressed the workers comp issue. Goblinmonger Oct 2015 #193

Yes, as the insured, she did. I and my children have had accidents. pnwmom Oct 2015 #195

Sadly, not the first time this sort of suit has happened LibertyLover Oct 2015 #8

I wouldn't vankuria Oct 2015 #9

It's good you have the money to cover all possible medical bills. jeff47 Oct 2015 #64

Is This a New Thing? RobinA Oct 2015 #72

Not at all. It's been around for a long time. jeff47 Oct 2015 #77

The article states the nephew is the only defendent in this case vankuria Oct 2015 #163

Yes, the nephew is the one who caused the injury. jeff47 Oct 2015 #164

That's just nuts tblue Oct 2015 #10

Is she suing him or is her insurance company suing in her name? gollygee Oct 2015 #11

The child is the only one being sued, the "Aunt" is despicable. peacebird Oct 2015 #12

I hope she loses and has to pay his court costs gollygee Oct 2015 #13

She is suing to get the insurance company to pay - TBF Oct 2015 #19

+Zillions jberryhill Oct 2015 #35

Where do you see she's suing to get the insurance company to pay? TeddyR Oct 2015 #130

Think about this - TBF Oct 2015 #131

It's amazing to watch people here... Lancero Oct 2015 #173

I agree that capitalism is the bigger issue - TBF Oct 2015 #174

It's about insurance jberryhill Oct 2015 #17

So why does she complain in the lawsuit about how it "hurts to hold my hors d'oevre plate"? Nye Bevan Oct 2015 #21

Does it hurt or not? jberryhill Oct 2015 #23

The lawyer wrote the complaint, not the aunt. The Velveteen Ocelot Oct 2015 #65

+1. I'm guessing most DUers haven't been privy to an insurance battle riderinthestorm Oct 2015 #25

And a lot of DUers, and other people on the internet kcr Oct 2015 #137

I disagree, she may just be an asshole, they come in all colors, shapes, and sizes. snooper2 Oct 2015 #34

Notice the source of this story... Human101948 Oct 2015 #63

Can you imagine both insurance companies denying your claim? jberryhill Oct 2015 #18

"I feel terrible about this, the insurance companies are forcing me to do this.... Nye Bevan Oct 2015 #24

Uh, you'd be wrong about that. riderinthestorm Oct 2015 #27

It happens all the time. The Velveteen Ocelot Oct 2015 #36

Precisely /nt jberryhill Oct 2015 #50

Well, you must have had a longer conversation with her than I did jberryhill Oct 2015 #29

And yet, you're the one claiming you know this is about insurance companies muriel_volestrangler Oct 2015 #39

Because the article is based on a civil filing... jberryhill Oct 2015 #47

Exactly. That's because in most cases direct actions against insurers The Velveteen Ocelot Oct 2015 #57

Does the eight-year-old have that sort of pocket change? Orrex Oct 2015 #68

The child is a family member of the homeowner's insurance policy holder jberryhill Oct 2015 #75

Hey, I like that analysis. Orrex Oct 2015 #83

Some years back my mother tripped in my garage SheilaT Oct 2015 #26

Yep, medical bills are paid absolutely routinely in cases like this. Nye Bevan Oct 2015 #30

"the homeowner's insurer will just pay the medical insurer" jberryhill Oct 2015 #32

It's called "an accident". That woman is deranged. TwilightGardener Oct 2015 #28

That's what insurance is for! The Velveteen Ocelot Oct 2015 #54

And the two insurance companies are fighting over who pays. jeff47 Oct 2015 #61

do you think it's reasonable for her to have made a claim on the family's insurance? CreekDog Oct 2015 #31

Greed knows, deathrind Oct 2015 #37

Our lawsuit lottery lifestyle strikes again. ileus Oct 2015 #42

No, our lack of comprehensive universal health coverage strikes again jberryhill Oct 2015 #51

But will she be invited to Sean's 13th birthday? Orrex Oct 2015 #48

Why not? jberryhill Oct 2015 #80

Dude, you're harshing my punchline. Orrex Oct 2015 #84

Girl Broke her wrist at my house years ago. dem in texas Oct 2015 #56

Yes, times have changed... jberryhill Oct 2015 #58

This is a battle between two insurance companies. jeff47 Oct 2015 #66

Again. Insurance companies routinely pay normal medical bills without 4-year court battles Nye Bevan Oct 2015 #76

And insurance companies routinely refuse to pay normal medical bills without 4-year court battles. jeff47 Oct 2015 #81

"Might as well get the homeowner's insurance to pay on pain and suffering too." Nye Bevan Oct 2015 #85

"force this nephew" jberryhill Oct 2015 #90

How much in "lost wages" do you think there would be for a HR manager with a broken wrist? (nt) Nye Bevan Oct 2015 #93

I dunno, let's ask a court jberryhill Oct 2015 #95

Come on. Can we get real here? Nye Bevan Oct 2015 #100

"dragging her nephew into court" jberryhill Oct 2015 #108

OK, I admit it. You are right. This is a *great* experience for the kid. Nye Bevan Oct 2015 #116

He doesn't have to sit there for that jberryhill Oct 2015 #120

Almost as great an experience as surgery and physical therapy. LanternWaste Oct 2015 #122

And then he got to go on the Today show with his aunt! jberryhill Oct 2015 #209

Less than $5000? You're kidding, right? Goblinmonger Oct 2015 #157

I have carpal tunnel. I couldn't work yesterday because I couldn't use a computer. jeff47 Oct 2015 #104

Can I borrow your time machine? jeff47 Oct 2015 #102

Insurance companies don't especially like paying $10,000 or so for medical bills for a broken wrist, Nye Bevan Oct 2015 #105

And again, you do realize that the medical bills part can be settled separately, right? jeff47 Oct 2015 #106

You put all the cards on the table when you file jberryhill Oct 2015 #110

This reply says it all jberryhill Oct 2015 #112

They don't pay lost income jberryhill Oct 2015 #87

Here's what I wouldn't do. Nye Bevan Oct 2015 #88

What I see in this thread is an argument between the lawyers and the civilians, who don't get it. Shrike47 Oct 2015 #70

Yep. As a former insurance adjuster, I roll my eyes at all the Nay Oct 2015 #103

The verdict is in GusBob Oct 2015 #125

Weeeeelllllllll, guess I'm not surprised. I haven't followed this case to the Nay Oct 2015 #135

Ha! kcr Oct 2015 #139

And yet, we're told that these insurance companies can't even be named in this muriel_volestrangler Oct 2015 #109

This woman will never get another job again bluestateguy Oct 2015 #71

No: people who understand the workings of insurance The Velveteen Ocelot Oct 2015 #98

She's 54 with medical problems abelenkpe Oct 2015 #134

Sure, I want Turbineguy Oct 2015 #78

No! Never. I wouldn't sue a family member for anything ever no matter the age yeoman6987 Oct 2015 #101

Let me see if I understand what you are saying.... jberryhill Oct 2015 #111

I said I wouldn't sue. My brother may feel differently. yeoman6987 Oct 2015 #115

Okay, but if it was your leg and his insurance policy jberryhill Oct 2015 #118

Yeah maybe you are right yeoman6987 Oct 2015 #121

These types of actions don't tend to get very messy jberryhill Oct 2015 #123

You lost a leg! OriginalGeek Oct 2015 #168

Not necessarily. Hassin Bin Sober Oct 2015 #172

I'd make her my butler lame54 Oct 2015 #107

That's gold, Jerry! Gold! nt Codeine Oct 2015 #162

Can you really sue for a poorly made decision? Initech Oct 2015 #114

Of course. It's a medical issue for the insurance companies, not his piggy-bank. WinkyDink Oct 2015 #117

I heard on the radio, the verdict is in (no link) the jury didnt give a penny GusBob Oct 2015 #124

LOL. Jury deliberated for 25 minutes before coming to a unanimous verdict. Nye Bevan Oct 2015 #128

But, but, the insurance companies,,,, GusBob Oct 2015 #132

Nobody is going to weep for them jberryhill Oct 2015 #133

Thank god the insurance company kept its money. n/t Goblinmonger Oct 2015 #161

Freakin' amazing. Loved this part: valerief Oct 2015 #127

No sympathy from me. nt RiffRandell Oct 2015 #141

She did NOT sue her nephew. PeaceNikki Oct 2015 #147

He should have addressed her as "First Cousin Once Removed". Nye Bevan Oct 2015 #148

OK, but still not aunt-nephew. Regardless of what he called her. PeaceNikki Oct 2015 #149

Maybe she will sue him for another $100k for mischaracterizing their relationship. (nt) Nye Bevan Oct 2015 #150

Well, no wonder he was so negligent kcr Oct 2015 #151

She lost the lawsuit bluestateguy Oct 2015 #165

According to CNN, they remain very close. PeaceNikki Oct 2015 #166

Does it have to do with insurance? Renew Deal Oct 2015 #154

I likely has everything to do with insurance Goblinmonger Oct 2015 #158

That was my thought as well. Act_of_Reparation Oct 2015 #159

Thus ensuring her nephew will never be that excited to see her again. n/t hughee99 Oct 2015 #160

On the contrary, they remain close. PeaceNikki Oct 2015 #167

And that should be the end of this silly thread. I said should... Hassin Bin Sober Oct 2015 #170

Do you think she's been tackled in excitement since? n/t hughee99 Oct 2015 #171

$127K? Is that all I can get out of him? pinboy3niner Oct 2015 #169

I suspect it's pro-forma to collect from the parent's homeowner's insurance Algernon Moncrieff Oct 2015 #198

No, I wouldn't but what I knew of this as of yesterday was based on the extremely LiberalElite Oct 2015 #199

Damn right I would!!! U4ikLefty Oct 2015 #206

as it turns out, you were wrong (again) La Lioness Priyanka Oct 2015 #210

The jury deliberated for 25 minutes before unanimously deciding not to award her a penny. Nye Bevan Oct 2015 #211

Not all for naught, now her health insurance will pay for it. tammywammy Oct 2015 #214

Lol. You really don't get this. La Lioness Priyanka Oct 2015 #215

It would appear most people don't know how insurance companies work DefenseLawyer Oct 2015 #212

Do you count all of the jurors among the "haters" Nye Bevan Oct 2015 #213

That's different issue DefenseLawyer Oct 2015 #216

No Spirochete Oct 2015 #217