Michael Moore's Latest Target: Your HMO

[JoeRedskin]

Originally Posted by Mattyk72

I hope you've got some better sources than just a movie.

Matty - I work in insurance regulation. My agency (who shall remain nameless but is a state agency that regulates insurance in a state on the eastern sea coast probably in close proximity - or surrounding - the city in which I reside) has issued many orders against insurers who have improperly and intentionally denied claims. I will say it is not the common practice and does not occur with great regularity. It does, however, occur on both the large scale and small scale and either as an anomaly or through a systematic business plan.

What is common is for insurers to look for ways to deny coverage and interpret any gray area against the claimant. Most times it is simply not feasable for consumers to fight the denial of a $500 claim that falls into those gray coverage areas.