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M0rpheus

(885 posts)
74. The guy may have a case against the company for coverage, AND the company may be fined...
Tue Jun 5, 2012, 05:20 PM
Jun 2012

The affordable care act provides that plans and issuers must not rescind coverage unless there is fraud or an individual makes an intentional misrepresentation of material fact. A rescission is defined as it is commonly understood under the law – a cancellation or discontinuance of coverage that has a retroactive effect, except to the extent attributable to a failure to pay timely premiums towards coverage.

His spouse's Employer is obligated by law to provide COBRA information within a reasonable amount of time (I think 44 days) from the termination of coverage.
Termination of coverage due to non payment by the employer and no COBRA information sent to the employee will end up being rough on her employers wallet.

His best bet is to contact the Department of Labor. In my freshly former career in HR Administration, I hated getting DOL calls. They take that stuff VERY seriously, and most companies will do whatever they can to resolve a "legitimate" issue when they come calling.

The issue of whether he can obtain retroactive coverage will end up being the election of COBRA, effective from the Termination date, to fill in the gap, and then getting coverage though his own employer. This would be the "simplest" option.

If the company is that far off the rails (Preparing for CH.11), there might not be anything to sue for by the time it gets to court.

Recommendations

0 members have recommended this reply (displayed in chronological order):

It's the same old story, isn't it? Ishoutandscream2 Jun 2012 #1
When it hits them they always say, "but MY situation is different (special...whatever). Dustlawyer Jun 2012 #36
There's a great doc out on this MrScorpio Jun 2012 #44
Hot Coffee dpibel Jun 2012 #50
Excellent documentary. xxqqqzme Jun 2012 #55
That's the one Scootaloo Jun 2012 #63
Craig T. Nelson said it best: tclambert Jun 2012 #62
What? efhmc Jun 2012 #64
LOL drm604 Jun 2012 #89
+1 -- O. M. G. bupkus Jun 2012 #100
Your post should be shouted from the rooftops. Thanks. spooky3 Jun 2012 #72
+1000 n/t jaysunb Jun 2012 #80
Selfishness is the great leveler. Kablooie Jun 2012 #43
yep + seen it in person myself lunasun Jun 2012 #92
Yes, I have an Aunt and Uncle living in the intermountain West..... Swede Atlanta Jun 2012 #88
I get so angry at people like this, SheilaT Jun 2012 #105
Maybe you should remind them. nt nanabugg Jun 2012 #112
"When it happens to you... alterfurz Jun 2012 #91
They only get it when they personally get hit catbyte Jun 2012 #2
This applies across the board. mwb970 Jun 2012 #110
Great story but Tanelorn Jun 2012 #3
I guess they need to experience some kind of massive and undeniable betrayal Jackpine Radical Jun 2012 #5
They keep falling for a "trick" we all learned in elementary school. TahitiNut Jun 2012 #69
Stockholm Syndrome... chervilant Jun 2012 #113
Well, since most of them are older racist fucks who want to go back to 1940 snooper2 Jun 2012 #26
Maybe the Democrats can run an Ad goclark Jun 2012 #68
If you happen to see him again, you might also mention this. denverbill Jun 2012 #4
Yes, I am in HR, and that is how it has worked at each place I have worked. nt Lisa0825 Jun 2012 #14
Serious question: Where does this guy stand in regards to "lapse of coverage"? MattBaggins Jun 2012 #37
I would agree with reply # 21 below on that. nt Lisa0825 Jun 2012 #60
But can he buy insurance retroactively? JustABozoOnThisBus Jun 2012 #20
No it won't be retroactive and he'd better hurry in case the Supreme's overtturn Obamacare. denverbill Jun 2012 #21
IMO Mr Dixon Jun 2012 #6
it boils down to "the more you know moment". Historic NY Jun 2012 #7
Reality strikes like a two by four up side the head. lpbk2713 Jun 2012 #8
Can't imagine it happening to them get the red out Jun 2012 #9
I hope he finds a way JustAnotherGen Jun 2012 #10
While the Shaedenfreude is cool and all, he needs to sue the company. WingDinger Jun 2012 #11
Agreed Sherman A1 Jun 2012 #25
Well, to me it sounds they should contact the State AG's office over the theft of money, start from NotThisTime Jun 2012 #40
my parents went through this same thing in Florida in the early 90's millijac Jun 2012 #47
Florida cosmicaug Jun 2012 #103
But, but,but ... IggleDoer Jun 2012 #76
Definitely. Regardless of his political stance he's been *really* badly wronged by them. (nt) Posteritatis Jun 2012 #84
When it's personal, they get it. BlueToTheBone Jun 2012 #12
Yup. Most of the time it's a, "That's their problem." mentality. n/t vaberella Jun 2012 #17
Because they worked for it. Like no one else has? SammyWinstonJack Jun 2012 #27
How sad his story. I knew as soon as these idiots realize how they are being screwed they would southernyankeebelle Jun 2012 #13
I doubt he will become liberal- just use the system there for those in need lunasun Jun 2012 #93
Or maybe he'll keep voting against his interest... cosmicaug Jun 2012 #104
Seems Like Their First Call Should Have Been to the Wife's Employer Indykatie Jun 2012 #15
one of the more interesting aspects wilt the stilt Jun 2012 #16
With pain The Wizard Jun 2012 #18
I accidentally ran into the bag protesters at the Capitol in 2010 wordpix Jun 2012 #19
He paid into Medicare LiberalCatholic Jun 2012 #22
If his wife were in a union EC Jun 2012 #23
I was thinking the exact same thing. obxhead Jun 2012 #70
Ya know what, fuck him... Earth_First Jun 2012 #24
+10000! SammyWinstonJack Jun 2012 #29
Eggs-zact-ly ... bayareaboy Jun 2012 #33
I know where you are coming from, that sense of righteous anger mixed coalition_unwilling Jun 2012 #39
Um WilliamPitt Jun 2012 #45
Will, I know... Earth_First Jun 2012 #51
Fair enough WilliamPitt Jun 2012 #54
Gotta agree flobee1 Jun 2012 #81
You know what? I hope Jackson's office is able to help him out. DFW Jun 2012 #28
As soon as he gets his situation settled, he'll be back to hating those less fortunate. Hoyt Jun 2012 #30
I think he will hate the less fortunate from the get go that he has to wait in line lunasun Jun 2012 #102
Great story.....but I expect no change ProudToBeBlueInRhody Jun 2012 #31
With the uncovered med expenses and his wife's job on shaky ground bigbrother05 Jun 2012 #96
their unjustified hate barbtries Jun 2012 #32
Great story but Coyote_Bandit Jun 2012 #34
The guy may have a case against the company for coverage, AND the company may be fined... M0rpheus Jun 2012 #74
I had a similiar incident at the last place I worked MattBaggins Jun 2012 #35
There's a few like that where I work too Populist_Prole Jun 2012 #79
He defended the company that screwed over his father? Grins Jun 2012 #86
Spam deleted by gkhouston (MIR Team) Henley96 Jun 2012 #38
He asked where he could sign up? GoCubsGo Jun 2012 #41
Great story but baggers don't have genuine epiphanies bupkus Jun 2012 #42
Yep... Snarkoleptic Jun 2012 #94
Oh, yeah bupkus Jun 2012 #99
2014 cant get here quick enough iamthebandfanman Jun 2012 #46
2014?! chervilant Jun 2012 #114
It's how Fox teaches them how to learn. Turbineguy Jun 2012 #48
The wifes employer is steeling from her, that is illegal regardless of whether or not a lawyer will uponit7771 Jun 2012 #49
Another socialists indoctrinated - good job lame54 Jun 2012 #52
I don't understand the lawyers... Ron Obvious Jun 2012 #53
My guess (having been a paralegal) SheilaT Jun 2012 #57
How about punitive damages? Ron Obvious Jun 2012 #59
Again, I'm not an attorney, but I don't think SheilaT Jun 2012 #106
If the laws are such that the lawyer will get paid little or nothing, then SharonAnn Jun 2012 #66
Let's see if he changes his tune. You'd think he'd be afraid of the Obamacare 'Death Panels...' freshwest Jun 2012 #56
A former boss and a big Rep did that to us. alfredo Jun 2012 #58
Great that you had that power and that ability. efhmc Jun 2012 #65
I had some inside help. alfredo Jun 2012 #95
Good work. Where was this victory? efhmc Jun 2012 #97
In Kentucky alfredo Jun 2012 #115
The social safety net. You're bouncing on it. Bolo Boffin Jun 2012 #61
Perhaps the new Consumer Protection Bureau can help him Samantha Jun 2012 #67
a tough Consumer Protection Bureau marions ghost Jun 2012 #71
He'll still vote republican, I bet. demosincebirth Jun 2012 #73
There is no "Obamacare" to "sign up" for jberryhill Jun 2012 #75
Now to drive home the point ... 1StrongBlackMan Jun 2012 #77
And then remind him.... Grins Jun 2012 #87
Good ..... Fuck him. I hope he loses it all. RagAss Jun 2012 #78
"What do I do now?" - Vote for the Dems. At least you can sleep with one eye closed. n/t davidwparker Jun 2012 #82
What is this "ObamaCare" of which you speak, bvar22 Jun 2012 #83
I love this story. rosesaylavee Jun 2012 #85
Well, most conservanazis like him will make excuses to blame Obama for his loss of coverage. TxVietVet Jun 2012 #90
But I bet he votes for RMoney in November, Ilsa Jun 2012 #98
I don't feel sorry for him if Shankapotomus Jun 2012 #101
Find the logic in this Bigredhunk Jun 2012 #107
Watched a bagger have an epiphany yesterday StarrMatthieu Jun 2012 #108
I don't suppose you could have a chat with my brother? Rhiannon12866 Jun 2012 #109
Don, you are so laid back. I admire you. My response tsuki Jun 2012 #111
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