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Jeff from Murrieta, CA says:
February 09, 2015

Insurance Complaint against: MetLife
Coverage Type: Life Insurance

  • PolicyHolder Service - Inadequate Service
  • PolicyHolder Service - Delays/No Response
  • Claim Handling - Delays upon Delays
  • Claim Handling - Fraud
  • Claim Handling - Denial of Claim
My step-mom changed my Father's beneficiary when he was in a home for Alzheimer's. The person who reviewed the claim never should have okay'd payment to her the follow mistakes were made: signature doesn't match, first name doesn't match, she listed herself as the employee, etc. MetLife confirms this! Early in the process, they said they couldn't make a decision as a box wasn't checked by the evaluating doctor (this report was done the day he entered the home.) The report did say that he couldn't handle his cash resources, he was incontinent, needed total assistance etc. Around a year later, I was finally able to get the Dr. to check the box that they said was so important to the case. Yet, they claim that they couldn't fully substantiate that fraud was done? Oh the California Department is of no use either. My case is so easy to figure out, i can only guess how people are treated who have more complicated cases. Insurance companies are supposed to fairly evaluate claims, but sadly, dishonest companies like MetLife push the disputes into court knowing that only 2-4% of people will take it that far.... Read More

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Name Witheld due to Health Care Privacy from elkhorn, WI says:
February 05, 2015

Insurance Complaint against: Humana
Coverage Type: Health Insurance

  • General - I feel abused by this company
Folders Sent Conv Insura...nts Prev Next Compose From: Tanya Falk Show Details Reply Reply All Forward Insurance reimbursements Wed, Feb 04, 2015 12:12 AM We need to change somethings in health care . I work at an independent pharmacy . Insurance companies r not giving fair reimbursements . Most way under cost . We are losing money everyday submitting claims . Before we know it , we will be out of jobs . We have all have agreed to take a pay cut to keep our job . We need to start regulating insurance companies . The beginning of this year has been the worse . Everyday is a new hurdle . Obama care is the worst offender . The processors are robbing uses blind .please tell me how we are going to solve this problem so we keep our small businesses around ? We need to start fixing what is broken . Insurance companies are broken . My boss told us the reimbursements are dated back to 30 yrs ago . Thank you for taking the time to read this . For the record I love my job and I love what I do . Please help us save our jobs .... Read More

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Tanya Tucker says:
February 6, 2015 at 9:59 AM

"Fair" reimbursements? If I were you, I'd look into whose making the cash -- it's not the gov. Try pharmaceutical companies. If your boss is playing fairly, and 22 million people are getting help through Obamacare, it would seem that insurance companies, who never should have been at the Obamacare table, are scamming us all. Good luck, and I hope you keep your job. You need to fight the right fight: aspirin in a hospital should not cost $125 p/pill. There are healthcare models in many countries that work. We need to clone those.

Pamela from Orlando, FL says:
February 05, 2015

Insurance Complaint against: Safeco
Coverage Type: Auto/Boat/Motorcycle

  • Claim Handling - Denial of Claim
I was parked and backed into by an individual insured by Safeco on January 26, 2015. The guy claimed he didn't see my car in the parking space. The police completed an incident report which clearly states he was at fault. I put the claim into Safeco, and at first they claimed they were unable to get in touch with the guy and would not process the claim until the did so. The adjuster's name is Stacey Crooks. These folks flat out refuse to get my 2013 Cadillac ATS repaired, so I will have to personally sue their insured for the repairs. There is no rhyme or reason why Safeco, Stacey Crooks, should deny this claim. You cannot back into a parked car. The excuse that you cannot contact your insured is ridiculous. How long can that excuse be valid? I eventually went through my own insurance company who was absolutely fabulous. I already have the paperwork to file a small claims suit against the insured so that I can at least get my deductible back. The insured should definitely find a company that stands behind him because as of now, I'm going after bank accounts, homes, etc. to put liens against the insured. Safeco has no business conducting business in the State of Florida if they won't honor a cut and dried claim. Th... Read More

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Rachael says:
February 13, 2015 at 8:24 AM

No company will pay a third party claim without speaking to their insured first, regardless of a police report. If he is playing hard to get, they cannot do anything. There is no time limit for them to pursue the claim. You did the correct thing by going through your insurance and then they will subrogate against his insurance.

richard from oroville, CA says:
January 28, 2015

Insurance Complaint against: Safeco
Coverage Type: Homeowners Insurance

  • Underwriting - Cancellation
After five years of coverage without ay claims they are cancelling for trivial reasons. A plumbing fixture was temporarily in the backyard and a piece of drip edge was loose on the roof These defects have been corrected. In addition there are two agricultural buildings in poor condition which I do not expect coverage on. One is a disused earth-floor chicken coop on the rear of the lot, which they object to missing shingles. I feel that this is a way to indirectly jack up rates by driving me to another insurer.... Read More

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Name Witheld due to Health Care Privacy from Jacksonville, FL says:
January 27, 2015

Insurance Complaint against: Assurant
Coverage Type: Health Insurance

  • Underwriting - Cancellation
  • PolicyHolder Service - Inadequate Service
  • PolicyHolder Service - Incompetent Employees
  • PolicyHolder Service - Delays/No Response
  • PolicyHolder Service - Payment Not Credited
  • PolicyHolder Service - Denied Access to Services
  • PolicyHolder Service - Abusive Service
  • PolicyHolder Service - Inadequate Reimbursement
  • Poli
October 2014- we changed insurance providers due to the high cost of our previous provider. We signed and paid our policy premium for two months and received a letter in November that as of January 1st the premiums will be raised by 180$s more, each one. When we called our agent we were told that due to open enrollment starting January 1st, 2015 the premiums were raised for the year instead of it being a "rolling calendar year". We were told that by individualizing our plans we may be eligible for subsidies and they could save us some money on the same plan. We decided to allow them to do this on December 17th in order to not lapse in insurance by the 1st of January. On December 26th, a Friday, we received a letter dated December 17th, 2 weeks prior to receiving the letter that if a premium payment is not received by January 1st, 2015 that the policies would be canceled. On December 29th, Monday, the premium payments were mailed to Assurant Health. The first week of January we received our medical cards. When we tried to use the cards the following week we were told that they were invalid. On the 14th of January I called our agent who looked into the issue and called me back the same day and said that underwriting stated that the ... Read More

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April from Simi Valley, CA says:
January 25, 2015

Insurance Complaint against: State Farm Insurance
Coverage Type: Homeowners Insurance

  • PolicyHolder Service - Inadequate Service
  • PolicyHolder Service - Delays/No Response
  • PolicyHolder Service - Payment Not Credited
  • PolicyHolder Service - Denied Access to Services
  • PolicyHolder Service - Inadequate Reimbursement
  • PolicyHolder Service - Unfair Negotiation
  • Claim Handling - Unsatisfactory Settlement/Offer
  • Claim Handling - Denial o
I have a rental policy with State farm homeowners insurance with a 1000. deductible. I have paid my premiums for years. I have had one renter in my house for 4 years. When I reported my claim and noticed the amount of damage I called to make a report. The Claim adjuster came out took pictures went through the house saw the damage. Then to try and get out of paying the claim. They separated the claims stating that according to their photos the damage happened over time. So they separated the claim out to 6 different claims. Saying that I had to pay my 1000. deductible for each claim. This was not right. I told them I live out of state. This is not right! I have been making phone calls to the claims department and my insurance company with not response back! This has been terrible and frustrating.... Read More

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John from 3089 Goldner St, CA says:
January 23, 2015

Insurance Complaint against: AAA
Coverage Type: Auto/Boat/Motorcycle

  • Underwriting - Forced Placement
  • PolicyHolder Service - Inadequate Service
  • Claim Handling - Denial of Claim
  • Claim Handling - Unjustified Accusations
you did not list my company Anchor General Insurance Company San Diego California My 09 Mini Cooper was involved in an auto accident on 18 Aug 2014. Car has had numerous problems since bring released on 29 Aug 2014. First problem is that Natomss Auto Body and Paint. Csr is now going to be totaled due to the inadequate repair by the body service. Missed was a blockage in the drainage which allowed water to drain into the passage area on the dash board shorting out 3 or 4 electrical components estimated cost $7,500 excluding labor. Anchor General Insurance has denied the claims, stated that the work was complete, that they keep delaying talking to me what is going on, even had a private investigator come to my house implying I'm an insurance scam artist enough id enough my policy number is 9979822 help me please resolve this travesty... Read More

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Online Loan says:
February 28, 2019 at 6:10 PM

quick loan for bad credit

Name Witheld due to Health Care Privacy from New Port Richey, FL says:
January 23, 2015

Insurance Complaint against: UnitedHealth Group
Coverage Type: Health Insurance

  • Claim Handling - Delays upon Delays
  • General - I feel abused by this company
Our primary doctor retired. We chose Dr. Mark Gottlieb as our new Primary Care Provider. We are insured by United Health Care AARP.Jan 16 2015 We called United Health care to have Dr. Gottlieb added as our Primary while we were in the doctors office. (We did not know we had to list a doctor prior to the visit to a brand new doctor. What if we did not like him?) After dialing UHC, we were on hold 30 minutes. I was called in to see the doctor so I gave the phone to my husband. He held for another 30 minutes. We finally hung up and called later in the day. We received the recording that all reps were busy. Wait time over 15 min. We gave up for the day. Monday my husband called again. He spoke with a rep that claimed she found Dr. Gottlieb and added him to his record. I did not know the status of my account so I called on Friday Jan 23. There was no record of any change in my account. I asked for a supervisor. I was transferred to Supv. Shanay. She promply called Dr. Gottlieb's office to get the info she needed. She updated both accounts which took about 30 min. This should have never happened. There is no reason for a rep to make these kinds of mistakes, leaving the patient in the middle and not updating the records. Had I not invest... Read More

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Name Witheld due to Health Care Privacy from Austin, TX says:
January 22, 2015

Insurance Complaint against: WellCare Health Plans
Coverage Type: Health Insurance

  • PolicyHolder Service - Inadequate Reimbursement
  • PolicyHolder Service - Unfair Negotiation
  • Claim Handling - Rude/Abusive Adjuster
  • Claim Handling - Unsatisfactory Settlement/Offer
  • General - I feel abused by this company
I chose WellCare for my Medicare pharmacy supplement. CVS is the mail order pharmacy of choice for WellCare, but I received unsatisfactory service from CVS, so I switched to Walgreens pharmacy. Walgreens pharmacy provided all of my tier 1 medications at no cost to me. Walgreens has an advertisement stating they provide mail order pharmacy service, so because Walgreens is listed as one of WellCare's preferred pharmacies, I had no idea the Walgreens pharmacy was different from the Walgreens mail order pharmacy and I signed up for my meds to be delivered to my home. The first shipment of medications I got were $154! The same meds I had received from Walgreens pharmacy at no cost to me. When I called WellCare to ask why this happened, the explanation I got was that Walgreens mail order pharmacy was NOT a preferred mail order pharmacy for WellCare. I explained why I had chosen not to continue with CVS, and that they had referred me to Walgreens, and that I had no idea Walgreens pharmacy and Walgreens mail order pharmacy were not the same thing. I immediately asked to have ALL orders cancelled, and I cancelled my enrollment with WellCare to be effective 12/31/2014. I then received yet another shipment of medication to the tune of $190.... Read More

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Clarence from Southaven, MS says:
January 20, 2015

Insurance Complaint against: Hartford
Coverage Type: Renters

  • Claim Handling - Denial of Claim
I had a policy No. 55 RBE211598,renters insurance. My clothes shoes and clothing were damaged and destroyed by water leaking into the bedroom closet. Hartford has a policy Homeowners 3 insurance policy Special Form on page(5) C. Coverage C- Personal Property 1. Covered Property."We cover personal property owned or used by an INSURED while it is anywhere in the world". Now I entered this contract in good faith and when I filed my claim it was denied.... Read More

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