How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Loren Your Own Question
Loren, Lawyer
Category: Consumer Protection Law
Satisfied Customers: 33095
Experience:  30 years experience in general legal matters.
Type Your Consumer Protection Law Question Here...
Loren is online now
A new question is answered every 9 seconds

Kaiser turned down a claim, said i was not covered, accident

Customer Question

Kaiser turned down a claim, said i was not covered, accident happened 01-29-2016,
my policy with Kaiser was new, i signed up on 12-29-2015 , they debited my account for first payment on 01-11-2016
Submitted: 10 months ago.
Category: Consumer Protection Law
Expert:  Loren replied 10 months ago.

As I said in your earlier thread, you need to appeal the denial using the procedure they include, as required by law, int he policy.

If the appeal is unsuccessful then you may be able to sue for bad faith and recover punitive damages and attorney fees if you prevail in showing that the denial of coverage was false and they knew that they were not complying with the terms of the policy, which is what "bad faith" requires.

Expert:  Loren replied 10 months ago.

Did you have further questions? Have I answered your question?