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Anthem - Anthem dropped medical coverage for the 2nd time in 6 months. What can I do?
Hey so I buy my own medical, dental, and vision insurance from Anthem rather than going through my employer. For the 2nd time, Anthem has decided to drop my medical coverage without telling me.
The last time this happened, I had to get on the phone for 1 1/2 hours with them and they still couldn't identify why they dropped it. Instead they gave me some bullshit reason - "our records say you already had an active plan so we dropped this one". I don't have any other active plans. I'm 100% sure of this. I had to go through the re-application process again in December and purchase new medical coverage. Fortunately, I'm young and healthy so this isn't hard to do but it's deeply frustrating and I had to push my yearly physical forward because of it.
Fast forward to now (April), I log into the Anthem portal and I see medical coverage is dropped again as of March 1st. Vision and Dental are still active but Medical is inactive. I tried calling them today (Sunday) but of course they only work M-F 8am - 5pm. The frontline phone operators are useless. ChatGPT does a better job than them.
Has anyone else had this experience? What was the resolution? What can I do to prevent this moving forward?
renter's insurance - Mold in apartment, not sure what to do next
Location: Washington State
I’m dealing with a housing situation that has gotten increasingly serious, and I could use advice on whether I have a legal case and what my next steps should be. I don’t qualify for free legal aid, but I also can’t afford to hire a lawyer outright. I’ve already spoken with the Tenants Union of Washington State, who suggested I update my complaint with the city’s code enforcement office on Monday because the situation has escalated significantly since I first reported it. They also mentioned I might be entitled to compensation that my landlord isn’t disclosing (either intentionally or not). I’m wondering if I should wait to hear from code enforcement again or if I need to start pursuing legal representation now.
My story begins at the start of the new year. On January 6, I submitted a service request because the floor in my entryway was visibly warped and I was having trouble closing my front door. On January 8, maintenance came out, removed the weather stripping from the bottom of the door, and marked the request as complete even though no inspection was done and the root issue wasn’t addressed. At that point, I figured I had at least documented the damage in case they tried to blame me later, but I had no idea how bad things were about to get.
On March 26, I submitted another repair request because there was now visible water damage and possible mold along the baseboards next to my front door, along with the floorboards becoming even more warped. In my bathroom, there was a significant colony of black, furry mold that had grown between the wall and a small stepstool I had propped up against it. I had also noticed that there were "blisters" in the paint on the walls in the hallway leading up to my apartment where water had obviously started to pool. Maintenance showed up the next day, told me they would "call someone," and once again closed the ticket without fixing or really even looking at anything. On March 29, I went into the leasing office to speak with someone in person because I felt like the issue was not being addressed properly and I wanted some answers. I explained the problem to the leasing agent and he asked me to send him an email describing the issue (which I did) and that I should open yet another repair request for the issue (which I also did.)
On April 1, the maintenance person showed up again. This time, he brought a pipe wrench and literally tried to hammer down the warped floorboards (no joke). Then he sprayed two sprays of mold inhibitor on the wall next to the front door “just in case.” That afternoon, I was told that a water restoration company would be out the next day to inspect the unit.
The water restoration company came first thing on April 2, while I was still in bed. They found significant moisture behind the walls and suspected the presence of mold. The property manager came by a few minutes before noon, took photos, and informed me that my apartment was currently uninhabitable. He told me to file a claim with my renter’s insurance for a hotel. I work from home and was in the middle of my work day when he told me that the water restoration company would be arriving shortly to start dismantling my bathroom to start looking for the cause of the leak. I ended up making a claim with my renter's insurance (even though I believe property management is responsible for the cost of temporary housing) but without a statement of cause, my insurance wouldn't help me find a place to stay so I had to make arrangements on my own for myself and my dog. I'm currently staying in a hotel down the street from my apartment building that is being charged to my credit card.
On April 3, the leasing manager called me to inform me that my apartment is unlivable and they have no timeline for repairs, so I have the option to either break my lease with no penalty or move into another unit (with them paying the moving costs). I asked him to send the offer via email because I needed a written record of the offer before I would even consider anything. He sent me an email the next day (April 4) briefly outlining my two options: either I transfer to another one-bedroom unit in the building at my current rental rate, or I break my lease with no penalties. That’s it. He didn't even include the offer to cover moving expenses to the new unit.
I'm stuck in a frustrating situation with no real solutions. My renter's insurance isn’t covering my hotel costs because they won’t pay without a statement of cause, which I still don’t have. Even if they do cover it, I’ll still be out $250 because of my deductible. I expect the property management company to take responsibility for that since the damage was caused by their neglect. The options they’ve offered don’t even begin to address the full scope of the inconvenience and stress I’m dealing with. There’s no mention of covering the moving costs, or even offering rent relief for the time I’ve been displaced. Neither of these options account for the impact this situation has had on me and my dog.
What should I be doing next? I’ve already filed a complaint with the city’s code enforcement office and plan to follow up on Monday, but I’m not sure if I should be waiting for them or moving ahead with other options, including legal advice. I know I can’t afford to hire a lawyer outright, but I also feel like I’m being jerked around by the property management company and my renter's insurance. Any advice on what steps I should take next?
Renewal by Andersen - Cut bait or stay with Renewal by Andersen?
We bought replacememt windows: 4 sash, and 2 casement. The four sash windows leak air. The sale rep who sold the whole package to us knew how bad the wind was on our farm (we told him) but sold us these sash windows anyway. Five "adjustment" visits later, now one of them is leaking rain too. RBA came out and has offered to replace all the sash windows with casements (the two have performed well). Do I dare stay with them or should I demand a refund? This company is weird. The installers and service people are wonderful--unfailingly professional and polite, but the marketing and sales are... liars and worse.
ARAG Legal - Fire my attorney? Stick with him?
Location: Georgia
Two months ago, [I posted here](https://www.reddit.com/r/legaladvice/comments/1ikves7/frustrated_with_attorneys_lack_of_communication/) about my legal case, and I’m finally seeing some traction. However, as my attorney is preparing to file the statement of claim, I’m getting minimal explanation about his legal reasoning, and I’m concerned he may be rushing my case.
Here’s where things stand:
* My attorney initially filed for Magistrate Court, but after withdrawing that case in December (just days before the court date), he mentioned we should pursue Superior Court instead.
* This past week, he drafted a second statement of claim. When I pressed him with questions about how the law applies to my case, his responses have been minimal, often just one or two sentences.
* I believe my case, while complicated, does have grounds for pursuing punitive damages. However, the statement he drafted only outlines compensatory damages.
* In my last email, I asked him to explain why punitive damages would not apply to my case. His response was simply, "I don't think it applies," with no further explanation. Additionally, he mentioned that Magistrate Court in Georgia is capped at $15,000, but earlier he had said he was planning to file in Superior Court.
I’m assuming he plans to file next week. I’m planning to call ARAG Legal (through which I hired him) and consult with other attorneys for a second opinion. I’m feeling extremely frustrated and unsure **whether I should cut my losses or trust that his legal reasoning is sound** and proceed to move on with the case.
**I would appreciate feedback on the strength of my claims, potential damages, and whether filing in Magistrate or Superior Court would be more appropriate for my case.**
>**Case Information:**
This case involves a breach of contract with elements of constructive eviction.
>I was a tenant at an apartment complex from 2017 until December 2023. In March 2023, a new property management company took over the complex. In June 2023, I signed a new one-year lease under the new management.
>Over the next eight months, I was improperly charged approximately $5,700 in various fees, including:
>Late fees
>Charges inconsistent with the lease terms
>Early termination fees
>I made several attempts to resolve the billing issues through documented communication (five emails), but the management did not correct the charges.
>Due to ongoing safety concerns and unresolved billing issues, I chose to terminate my lease early in December 2023, sending certified letters to both the property and regional office. Unfortunately, the incorrect fees were eventually sent to collections, which negatively impacted my credit.
>Safety Concerns / Constructive Eviction:
Starting in June 2023, I reported multiple instances of loitering around my apartment, including one individual repeatedly sitting on my apartment steps and leaving trash. Despite repeated requests for increased security measures, no action was taken.
>On October 31, 2023, a guest staying with me had their car stolen (police report filed). Residents living directly below me were implicated in the theft, and afterward, I experienced retaliatory behavior that made staying in the apartment unsafe.
>
State Farm - Hit and run.
A couple months ago my car was parked and someone hit the back of it (they were parked behind me). Luckily my dash cam recorded everything. I contacted the local police and they went to the man’s house and he admitted fault saying “ I didn’t think it was that bad”. I declined pressing charges as this man was older and In just wanted his insurance info thinking it would be a simple claim. Alas, here were are with State Farm trying to get me to use their preferred body shop and only approving 60% of the estimate. I know they tout the benefits of using their contracted shops but I don’t want to do that. I got two estimates from two reputable shops showing what the cost to repair should be but they don’t want to budge. I also understand that if I go to a non contracted shop then the shop can request supplements for more money from insurance to complete the repairs. I just don’t like being liable for any monies not agreed to by State Farm if that situation were to happen. At this point I’d rather just get the amount the two shops quoted me to fix it and go that route. I’ve compiled a demand letter requesting that amount, along with 10 days of a rental care cost. I think this is fair and hoping this will resolve the claim. Think they will agree?
Aetna - Why does it say I spent zero towards my out of pocket max when I spent $5 yesterday?
I have aetna cvs hmo. On the app it says I spent zero towards my out of pocket max which is not true since I went to an in network urgent care yesterday and spent $5 for my copay! Once the out of pocket max is met, then insurance covers all medical costs. Also when it says that my insurance will cover 100 percent for all medical services that are covered..when it says covered does that mean covered as in network providers?
Healthy Paws - Electrochemotherapy and Pet Insurance Coverage
Hello can anyone share if their pet insurance covered electrochemotherapy for their pet? I have healthy paws and inquired and they said it “may be covered” subject to policy rules. However electrochemotherapy is not FDA-approved in the United States and healthy paws policy states they don’t cover non FDA-approved treatments. Just looking for some insight. Thanks.
Maryland Health Connection - Advanced Premium Tax Credit Results in Huge Taxes Owed
My parents applied for health insurance through Maryland Health Connection, and were told they were eligible for an advanced premium tax credit. Now that they are doing their taxes, it appears that there was a large overestimation of the amount on the premium tax credit they were eligible for, resulting in them owing about $15,000 in taxes.
If this is the fault of Maryland Health Connections for overestimating the amount on the premium tax credit they were eligible for, is there anything that can be done about this?
Aetna - Reverse a processed claim - Aetna
I got a MRI done two weeks ago. When I scheduled the appointment the staff told me they didn’t know the amount to be billed since my insurance is a high yield deductible and no copay. They mentioned that if I want to pay out of pocket without using my insurance it would be $500.
Fast forward I received a processed claim from Aetna saying that I need to pay $920 and that the X-ray company billed them $1,200.
Is there any way to reverse this? I feel scammed by both the X-ray company and Aetna. Can I fight back a processed claim?
LA Insurance - Michigan Small Claims Court - Car Accident
Location: Michigan - Just wondering if this is an appropriate thing for small claims and wanted to hear some opinions as I've never sued anyone before or have been involved in small claims.
I was in a car accident on March 11. I was not the driver at fault. The other driver involved in the accident was cited for failure to stop (she rear-ended me at a stop light), no driver's license, and for not wearing a seat belt. Her insurance was listed on the police crash report as LA Insurance. Come to find out, she did not have that car insured at the time of the accident. I called LA insurance, and several other companies under that franchise, and found her name and policy, but she had a different vehicle insured and not the one involved in the accident.
My insurance company reached out to her, didn't receive a response, and ran the VIN on the vehicle she hit me with, verified that the car was in her name, but did not find an insurance policy attached to the vehicle. I told the police department this and they will be updating the police crash report.
Subsequently, I can't file a claim with her insurance because she doesn't have any. I have been encouraged to sue her in small claims court. My car was basically totaled in that accident (it was also an older used vehicle with 197,000+ miles on it), so I leased a new vehicle. Can I ask to receive at least the down payment I put down on that new vehicle? I'm also going to ask for storage fees of having my car at a repair shop as well as the fees to file with small claims. I did have items stolen from my vehicle while it was at that repair shop, but I don't have a dollar amount for them so I don't think it would be appropriate to put those in the small claims case. But I'm really just wondering if asking for the amount I paid as a down payment on a new vehicle would be appropriate.
Like I said, I have never done this before. Advice is greatly appreciated!
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