Case Results

Policyholder developed a condition known as complex regional pain syndrome (CRPS), formerly called reflex sympathetic dystrophy (RSD). Health insurer denied coverage for various treatments including hyperbaric oxygen treatments, pain management program and a spinal stimulation implant, resulting in the progression of RSD.

Bad faith insurance claim involving a policyholder hit by an under-insured motorist. Insurer delayed for over two years before paying the policy limits.

Negligence case against health plan and health care providers for negligent placement of breathing tube during surgery resulting in brain death of elderly Pasadena resident.

Fraud and bad faith claim involving the cancelation of a health insurance policy after insured develops Hepatitis C. Insurance company sold health insurance without performing underwriting. After policyholder developed Hepatitis C, the insurance company canceled the policy in bad faith and engaged in post-claims underwriting. Policyholder left uninsured and unable to obtain other insurance.

Fraud and bad faith case involving the canceling of a health insurance policy after insured required a hysterectomy. Insurance company sold health insurance without performing underwriting. Policyholder left uninsured and unable to obtain other insurance.

Bad faith and fraud cases involving an insurance company that sold health insurance without performing underwriting. After policyholder developed an illness, insurance company cancels policy in bad faith and engages in post-claims underwriting.

Health insurance company denied transplant to policyholder. Policyholder needed a transplant to stay alive. Health insurer denied transplant claiming that the provider was out-of-network and that the transplant was not medically necessary. After month long trial, case settled confidentially before the second phase of trial.

Fraud and bad faith in canceling health insurance after insured needs medication for high blood pressure and diabetes. Insurance company sells health insurance to Central Valley resident without performing underwriting. After policyholder needs medication for high blood pressure and diabetes, insurance company cancels policy in bad faith and engages in post-claims underwriting. Policyholder left uninsured and unable to obtain other insurance.

Policyholder required a special surgery to alleviate back problems. Health insurer denied coverage for the surgery and post surgical care, resulting in physical deformation.

Insurance company denies coverage over theft of an automobile and accuses minority insured of fraud.

Health insurance company denied coverage for proton beam therapy to treat a rare form of cancer.

Doe v. Anthem Blue Cross of California. Anthem Blue Cross repeatedly kicks UCLA physician with terminal cancer out of the hospital against wishes of his treating physician. After physician retained my firm, Anthem Blue Cross repeatedly reversed its denials and covered the hospitalization.