Mark Romano gripped the steering wheel and tried to keep his car from swerving into another commuter on the busy Illinois tollway. “God, please don’t let me hurt someone,” he prayed. Dizzy again. These bouts of vertigo were barely noticeable at first, but something else was going on now. At night, he would lie in his bed, stare at the ceiling and watch everything twirl. In the morning, the spells came in waves during his commute to Allstate’s national headquarters in suburban Chicago. Stress? It was December 2007, and Romano was a senior manager at Allstate and its top expert
Comments: This is an important investigative piece for those millions who live in or near hurricane-vulnerable areas. It´s the kind of investigation newspapers used to do and the Post & Courier has done a great job. There´s an interactive map and search tools to help the consumer choose a fair insurance policy. When our deductible went up from $2,000 to $5,000 after Katrina--and we were in Charleston, SC--we began to wonder if we were paying for the mistakes made in New Orleans. This helps us find out.
I was rearended by an underinsured driver, and suffered a back injury that I essentially ignored for about a year. When I finally had an MRI, the radiologist misread it. And when I finally went to a neurosurgeon, he took his pen and circled the location of the injury, which required spinal fusion. After I had the surgery, my attorney (who I only sought out when the stature of limitations was running out in Pennsylvania) pursued the other company, as well as my company, since my underinsured/uninsured motorist coverage was involved. The other insurance company settled, and my company sent me to an orthopedic surgeon who specializes in providing expert testimony for insurance companies. In the end, I had to threaten a lawsuit against my own insurance company for failing to engage in good faith negotiations. They settled. A year later, I received a letter that I was covered under the lawsuit mentioned in the article. But in the end, my insurance company apparently was able to convince the administrator of the fund that my company did not use collosus, in calculating offers to me.
bottom line - insurance companies are in it to make money. you bet that something bad will happen to you, you house, and/or your life and the insurance companies are betting that it will not. when insurance companies loss that bet and you claim a loss, rest assured that the insurance company will adjust your loss down to the least that they have to pay. it is not surprising that they have come up with a program to reduce payout and increase their profit.
And thus, it becomes understandable why Obama and Thuggery want to own the insurance industry. Government already controls AARP, which ´sold out´ on the senior citizens who built it. .... ObamaCare will cripple many, and a lot of those folks were too ignorant to realize they were digging their own graves by giving this president their votes.
I have little doubt that this whistleblower and his family will lose everything after they are investigated by the IRS. This guy might even end up being a cellmate to the man whose film caused the murders of American citizens in Benghazi. s/o
"I don´t use Facebook (too much personal information requested), but I did want to comment on your article about computerized software for claims settlements.
I believe that state regulators do keep a close eye on the ways insurers operate. Do insurers have an interest on keeping payouts low, you bet. As someone who was paying for health insurance by myself, I know about the sham of "reasonable and customary" claims payments -- yet I was glad to have coverage even at lesser satisfaction than I felt I deserved. Do claimants lie, too many do.
I can understand the companies preferring to deal with people without lawyers. Lawyers need to get their fees covered out of the claims paid, thus automatically inflating them . Further, the extra personnel time required to handle the extra paperwork, court times, is more costly for the companies. If the insurance companies can´t make money, then they can´t stay in business providing claims when needed.
All lawyers aren´t saints, insurers and their executives are not saints either. The tension between them and the regulators by the state keep most insurers honest enough for this imperfect world in which we live.
Mr. Romano shined some light on the process that caused him stress, but it´s still not clear to me that there was any wrongdoing in the "tuning." Leaving out excessively high and low payouts is probably wise if accuracy is desired in creating a computer program. There may be extraneous factors that created the outliers and including them might lead to false conclusions."
A complex issue. If you read the article, I don´t think you can come away from it believing that insurance companies are necessarily the evil, greedy corporations the Left loves to caricature.
Rather, insurers are an institution that is struggling to stay afloat. One reason they´re struggling is the ever-burgeoning load of government regulation. This article doesn´t really go there.
But this piece does make clear that a major reason insurers are struggling is the plethora of ambulance-chasing lawyers ... who advertise ceaselessly on television, luring dubious "clients" to join in frivolous "class-action" lawsuits.
My conclusion: If anyone is "evil" here, it´s the trial lawyers. (Who, as we all know, are 1%-ers who contribute hugely to Dems.)
When hurricane Ike blew through our neighborhood, some got new roofs, some got large scale repairs, and some got localized repairs. The difference often was which adjuster got sent out to look at the roof. Our adjuster never climbed onto the roof and missed 3 holes at shoulders in the roof. A later roof inspection found the holes which were fixed at our expense because the cost of localize repair was below the $1200 deductible. Insurance companies weed out the inspectors that replace the entire roof or fail to find real damage.
Government would hire these inspectors and demand a cut.
Used to be said that downtown everywhere was owned by the big insurance companies. It´s not just your premiums but their investments they count on. Think about their loses in this economy and your increased premiums.
With auto and homeowner´s it seems to be Use it and lose it. Isn´t that like extortion ?
All of these companies cry the blues about paying claims. No mention of actuaries who are suppose to determine premiums by the ´what if´ every policyholder had a claim on the same day ? They are suppose to have the money to pay you. Guess AIG didn´t have actuaries.
Everyone has the right to complain to their state insurance commissioner and hope they follow the law and your policy that is a signed legal contract.
An American chemistry teacher has been shot dead by gunmen in the Libyan city of Benghazi, security sources said on Thursday. The attackers shot a 33-year-old staff member of the Benghazi International School while he was out for a morning jog, sources said. He was originally from Texas. No one has claimed responsibility for the shooting. [Snip] The U.S. Department of State made no comment when contacted by MailOnline on Thursday. AFP reported that a 33-year-old man was shot dead in the central Al-Fwihet neighborhood of Benghazi. He was brought to Benghazi Medical Center where he was pronounced dead of
America´s National Security Agency is tracking mobile phones around the world, according to the latest leaks from whistleblower Edward Snowden. Almost five billion records a day are being gathered which allow intelligence officials to track individuals and map their relationships in ways previously unimaginable, the classified documents suggest. [Snip] The location data comes from tapping into cables connecting mobile phone networks around the world, it is said. Analysts are able to locate a mobile phone and then retrace the owner’s movements, exposing their connections to others, it is claimed. The NSA said that they do not intend to target the
The Home Secretary is to challenge her European counterparts to change the way free movement rules work across the region at a meeting in Brussels. Theresa May will tell justice and home affairs ministers of fellow European Union member states the UK is frustrated by the European Commission´s failure to tackle free movement abuse. Ahead of the meeting, Mrs May discussed measures to tackle this abuse such as applying a cap on numbers if European immigration reaches certain thresholds. Her comments come after David Cameron unveiled measures to deter immigrants from within the EU but also suggested in the future, labour movement
The US and China have had "very direct" talks about concerns over China´s new air defence identification zone, US Vice-President Joe Biden said. Speaking after meetings with Chinese leader Xi Jinping, Mr Biden said the zone had caused "apprehension" in Asia. Talks in Mr Biden´s Asia trip have been dominated by a new air zone declared by China, which covers islands controlled by Japan in the East China Sea. China says its move is consistent with "international law and practice". China announced a new Air Defence Identification Zone (ADIZ) last month, and said aircraft flying through the zone must follow
It is a story as heart-warming of one of their Christmas adverts. John Lewis has launched an appeal to find the five-year-old girl who wrote them a letter saying sorry for breaking a bauble. Known only as Faith, the girl sent a handwritten apology to her local store after she said she accidentally broke the decoration on a visit to the shop. Faith even attached two pound coins to the note, apologising for the damage she caused at the Cambridge branch of the department store. The letter arrived there after being posted to the ‘Christmas Department’ soon after her visit.
The most serious coastal tidal surge for 60 years was predicted today as 114mph winds battered Britain, 20,000 homes were left without power and meteorologists warned lives were at risk. Forecasters fear the worst is yet to come during tonight’s high tide at around 10pm as the strong winds and high volumes of water combine to form a ‘tidal surge’ towards the north east coast. Sea levels could be as high as those during the floods of 1953 that left 307 dead. A lorry driver died today and four other people were injured after an HGV was blown over in
Britain´s baby boomer generation is suffering the toll of decades of high-living, according to official figures which show alcohol-related hospital admissions among those in their 60s have tripled in a decade. The statistics show that among those aged 45 and above, the numbers admitted to hospital as a result of drinking have more than doubled in a decade. [Snip] The figures, from the Health and Social Care Information Centre, disclose a dramatic increase in liver disease and drunkenness among the middle aged over the last decade. Last night, liver experts said older generations were suffering “frightening” consequences of an era
I have never been much of a conspiracy theorist. For me it was always Oswald by himself from the Texas School Book Depository and nothing in the intervening fifty years has disabused me of this notion. For the most part, I’m an Occam’s Razor kind of guy — the most obvious explanation is likely to be true. (Snip) To put it bluntly, Occam’s Razor has moved. Things that were once possibilities now seem almost certainties to me. Principal among those is that Obama’s academic records are perpetually unavailable for a reason — and that reason is most likely that they reveal
One of President Obama´s chief political assets has been his ability to excite young people like almost no politician in history. But the days of America´s youth fawning over the president are over. A new Harvard University Institute of Politics poll released Wednesday confirms what other surveys have shown in recent months: Millennials have soured on Obama so much this year that their opinion of him largely mirrors the American public´s. Even though Obama does not ever have to face another election, he should be worried about the findings for a couple of reasons, which we will dive into momentarily.
President Obama will cast growing income inequality and a decline in economic mobility as a “fundamental threat to the American dream” during a speech Wednesday in Washington. The speech will serve as an early preview for next year’s State of the Union address, according to a White House official, who said Obama would focus much of his energy over the next three years on the issue. “The decisions we make over the next few years will determine whether or not our children will grow up in an America where, if you work hard, you can get ahead,” the official said.
Good stuff from Jonathan Turley at today’s House hearing on executive power, although I regret that I couldn’t find a more user-friendly format for you to watch. There’s no compilation clip; you’ll have to make do with the C-SPAN embed by fast-forwarding to the time cues I give you and being patient while the vid buffers (and buffers, and buffers).(Snip)That brings us to point two: Even if Congress can’t stop Obama, the courts can. The problem there, though, says Turley, is that O and the DOJ have argued successfully in many cases that no one has standing to sue him
During a presentation at the White House in which President Barack Obama touted the benefits of the Affordable Care Act, the president declared that his signature health care reform law was not going to be repealed. This assertion led his administration members, his staff, and audience members to rise from their seats and give the president a standing ovation. Obama said that ACA opponents’ alternative to the health care reform law is to champion repeal and going back to the health care delivery system status quo ante. He specifically cited Sen. Mitch McConnell (R-KY) who he said was asked directly for
A woman has revealed how difficult it is to eat healthily and stay full when living off an average food stamp budget. Melinda Moulton, from Huntington, Vermont, was one of 200 people to take part in the 3Squares Challenge, which saw her living for a week on just $36 worth of food, or around $1.71 a meal. Opting to try and eat as healthily as possible, Ms Moulton resorted to cheap foods like yogurt for breakfast, two handfuls of peanuts for lunch and lentil stew for dinner, all of which left her unsatisfied.´I don´t know how people do it,´ said
[Video] President Obama on Wednesday declared that addressing income inequality would be the focus of “all” of the White House’s efforts “for the rest of my presidency.” In a sweeping address that touched on raising the minimum wage, investing in infrastructure and ending tax breaks for the wealthy, Obama warned that the American economy has become “profoundly unequal,” declaring economic mobility the “challenge of our time.” “The combined trends of increasing inequality and decreasing mobility pose a fundamental threat to the American dream, our way of life, and what we stand for around the globe,” he said in an hour-long