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The first reported judicial decision involving an effort of a health insurer to seek subrogation on a personal injury claim is the 1982 decision in Frost v. Porter Leasing Corp., 436 N.E.2d 387 (Mass. 1982) in which subrogation was denied. “ERISA reimbursement” claims began arising in the late 1980s and have been resisted by some federal ...
The topic of workers' compensation fraud is highly controversial, with claimant supporters arguing that fraud by claimants is rare—as low as one-third of one percent, [64] others focusing on the widely reported National Insurance Crime Bureau statistic that workers' compensation fraud accounts for $7.2 billion in unnecessary costs, [65] and ...
In an "excess" or "supplemental" travel insurance policy where there is a 'first payer' clause, through the subrogation process an insurer is legally entitled to seek cost-sharing up to a certain percentage from a member's private group health insurance provider after the insurer pays out a travel insurance claim. [10]
The settlement also included $105 million from BP for regional health outreach and free health checkups for exposed workers every three years for 21 years. But things quickly went awry.
Jaynee LaVecchia, the State Commissioner of Banking and Insurance, proposed legislation to create a fund to pay the costs of future HMO failures in New Jersey. [2] The company offered a range of health insurance plans for individuals, families, and small businesses, including HMO, PPO, and EPO plans.
The case of a Paterson laundry worker who sued her employer after a workplace accident caused the amputation of her hand will soon go to trial after a judge's ruling.
A 2019 USA TODAY NETWORK investigation revealed that New Jersey police chases had injured more than 2,600 people over a decade, including 55 deaths, and leading the nation in racial disparity ...
NJM Insurance Group is an American mutual insurance group of companies, offering personal auto, commercial auto, workers' compensation, homeowners, condo, renters, and umbrella insurance. It is headquartered in the West Trenton section of Ewing Township, New Jersey , and serves markets in Connecticut , Delaware , Maryland , New Jersey , New ...