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The fictional story “The Rainmaker” is about a fictional insurance company with a secret internal policy to deny all claims on first submission, and only fulfil
by binarymax 4y ago
The fictional story “The Rainmaker” is about a fictional insurance company with a secret internal policy to deny all claims on first submission, and only fulfill some claims on appeal.
It was meant to be fiction, but I suppose it’s not. This whole company should go down for fraud.
- theGnuMe 4y agoYeah that's basically a true story, also before the ACA there were plans that would deny your insurance claiming that you lied during the underwriting process if you used the insurance. It was big news at the time and lots of state action against those plans. I think Cigna needs to be sued class action style for denials. I think it would probably work in the case where Cigna is operating as the claims administrator which is where your company self-insures (so they pay the claims) but Cigna just deals with the paperwork. I would not be surprised if Cigna advertises its services to large companies as "cost effective" etc...
- d1str0 4y agoI’m not familiar with class-actions, but I assume they would not work well for a class pool that has an extremely wide ranging list of claim value, and background evidence/ailments.