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Insurance companies are constantly reviewing us. Are we too old? Do we live in the wrong place? Is our credit score high enough? Well, now it's time to turn the tables. Do you charge too much? Will you pay my claim quickly? Is your coverage worse than it seems? We can review you too.
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?
Cigna - OON claim reimbursement with provider who is sole proprietor
My wife has started seeing a new therapist who she seems to really like.
The therapist is out of network for our insurance (Cigna) and I think does only self-pay, but issues a superbill at the end of the month that we can submit for reimbursement. This superbill contains her NPI number but not her TIN.
I have submitted claims with these superbills to Cigna but they have been denied due to lacking a TIN. After seeing the denials I googled and found that this provider is a sole proprietor therefore her TIN is actually her SSN, and that it is a relatively common practice for solo therapists to be structured this way instead of through an LLC.
If she declines to provide a TIN to our insurance company is our only recourse finding a different provider? I’m not going to ask my wife to switch but just want to understand the lay of the land.
Farmers - Farmer's fault now trying to settle
Location: Arizona
Was in an accident and Farmers client was at fault. I had borrowed a car but had to return it. My insurance company offered a total loss on my car that was being repaired which I accepted but I had to rent a car while I looked for a new one (which took a week )
Farmers is refusing to pay for that rental because they said they are not legally obligated to pay for anything after the offer was made to pay for my old car. Is this correct ?
Progressive - Need advice/Help!!!
I’m currently with Prgrssive insurance I star with them about 3 years ago I’m 27yo. First car insurance with them paid $700 for 6 months the following year they bumped out the price for $850+ for 6 months and this year I got $900 for 6 months. No accident zero report at all why they kept bumping my prices? I’m from New Jersey. I’m thinking of switching insurance and your recommendation or what I need to do to pay around $700 for 6 months if possible, thank you!
my insurance - Hit by someone and they’re falsely accusing me of causing the wreck
So someone hit me yesterday on the highway, totalled my car and injured me pretty badly. Since I was hurt the officers rushed me into an ambulance before I could exchange information. one of the officers told me that he could provide me with the other drivers information after I got care and he gave me his card to call him, it has the case no. as well.
Now today I call, they’re telling me that they cannot give that information out until the crash report is done and that they’re waiting on a signature. So I’m stumped, but like ok, I’ll just keep checking and then I’ll file.
AND THEN as soon as I get off the phone I got a call from *my* insurance. The driver that hit me, somehow has my insurance and information and he filed a claim against my insurance. Basically saying my story exactly, trying to claim I hit him. What can I do from this point? I could try to hire an attorney, but without having his information I’m stressing that I’m going to get screwed. 😭
State Farm - State Farm Comp Plan
Is this a good comp plan for State Farm or should I look elsewhere?
Hey everyone,
I’ve been with State Farm for about 3 months now and just recently had my agent finally sit down and go over my compensation plan — something he’s been promising to do since I started. Here’s what it looks like (full document attached):
• Base Salary: $35,000
• Auto/Fire Base Commission: 5%
• Life/Health: 20% of 12-month premium
• PTO: 8 days
• Penalties: $50 deduction off bonus for every incomplete HH checklist
Bonus opportunities:
• Issue 5 life policies → +3% increase on P&C commissions
• Issue 4 health applications → $250 bonus
The issue is, I was also promised the chance to join the Aspirant Program, which was a huge selling point for me — but as time passes, it’s becoming clear that he probably doesn’t have much control over that, and it feels less and less likely it’ll happen.
So, I’m wondering…
Is this a competitive compensation plan for someone in my position? Or should I start looking elsewhere? I’ve got a background in finance and have been putting in real effort here, but I’m starting to feel like this might not be a long-term fit.
Appreciate any insight from others in the industry.
HealthEquity - Health Equity Account Question
So I had an HSA with H.E. sponsored by my last job, closed it when I left that job.
At a new job. Enrolled in their HSA program. HealthEquity has yet to populate my new HSA account or the contributions I've made so far. It doesn't show up in my member portal.
I still see my account with previous employer listed in historical.
My question is: does each employer make their own sponsored HSA account in my member portal or do all employers just take over the existing "personal" account when I leave a job?
I thought every new job would open a new HSA, but now I don't know since I'm having these issues.
Aviva - Looking to get a fleet policy for 4 cars
Firstly I appreciate any insight into this matter as it can be a minefield I know!
I’m looking to insure myself (m34) and partners (f30) 4 vehicles, we reside on a non working farm in West Yorkshire but will soon be moving to a similar setup in north wales.
Could anyone recommend a solid company to go with please?
Also open to the possibility of becoming a Ltd company once we move as we will be running a small business from the farm if that helps the situation at all.
we have dealt with aviva in the past and they have always been a struggle when it comes to claims.
Thanks 🙏
State Farm - Need advice
Hoping someone can provide some guidance for me as I am at point where I’m not to sure what to do.
I live in MD and was in an accident a few weeks ago. It wasn’t my fault a driver jumped a stop sign and I was on the cross road and they connected me.
Police came and the other driver immediately admitted fault. We are both with Statefarm so it’s been challenging dealing with this.
My car is financed and the claims department wants to pay about $2k less than what I owe on the loan. I don’t have gap insurance.
The claims department haven’t been the best in communication, but thankfully my Statefarm broker has been trying to help me convince them to just pay the difference on the loan because I have been a good customer with referrals and no claims. But now they have pretty much cut him off too.
I also just put about $4K into the car for new tires, brakes, oil change etc.
Where the bigger problem comes in, is that I don’t have funds to buy a new car or put a down payment down.
I have reached out privately to the other driver to discuss additional compensation from their end to at least get me to put a down payment on a new car, I am not expecting them to buy me a new car. I am still waiting for them to respond.
So here are my questions
Can I request that the insurance pays for the work that I put in less than 3 months ago?
Can I legally hold the other driver accountable for compensation for my loss and how would lawyers fees generally work with things like this.
I am the only one that brings in an income currently for the family as my wife has just started a new business and it is still in the early stages of taking off.
I really appreciate any help here.
homeowner’s insurance - [US-California] Follow-up: Sued after selling home over HOA dispute and property damage claims
Hi all — I’m following up on a post I made over a year ago regarding a dispute with my former neighbor in an HOA community:
[Original Post](https://www.reddit.com/r/legaladvice/comments/17kskaq/neighbor_wants_us_to_remove_trees_trench_and/)
At the time, the neighbor was demanding that I remove trees and trench my property due to alleged view obstruction and root intrusion. I consulted with an attorney back then who told me to wait and see if the neighbor actually filed a lawsuit, as the demands seemed like a scare tactic. Their advice was to assume he might just be bluffing unless I was formally served.
**Fast forward:**
I sold the property and moved out of the HOA community. A few weeks **after the sale was finalized**, I was served with a lawsuit from the same neighbor. The lawsuit includes eight causes of action, mostly related to HOA CC&R violations, nuisance, and alleged property damage from tree roots.
**The plaintiff is still a member of the HOA. I am not.**
I no longer owned the property and was not a member of the HOA when the lawsuit was filed.
**My homeowner’s insurance is providing a defense attorney that will be defending me wholly but will only financially cover the property damage claims.**
They will not cover any claims related to HOA CC&R violations, "loss of enjoyment," nuisance, or attorneys’ fees.
The claims adjuster also told me that I could be responsible for the plaintiff’s full attorneys’ fees if he prevails on **any portion** of the case, even a minor claim.
They are pointing to this clause in the HOA CC&Rs:
*(i) Attorneys Fees.*
*Any judgment rendered in any action or proceeding pursuant to this Declaration shall include a sum for attorneys’ fees in such amount as the court or arbitrator, as applicable, may deem reasonable, in favor of the prevailing party...*
# 🔹 What I’m really trying to understand:
Does the HOA’s CC&Rs and this attorneys’ fee provision still apply to me, even though:
* I was **not a member of the HOA** at the time the lawsuit was filed.
* I had already **sold the home** and was no longer bound by the CC&Rs.
* **The HOA did not have any open or pending violations against me at the time of the sale.**
* The claims are mostly based on alleged violations while I lived there.
Is it common or even legally valid for CC&R provisions to be enforced against a **former homeowner**, when the lawsuit was filed after the sale?
**Has anyone dealt with a similar situation?**
Any legal insight, personal experience, or thoughts would be really appreciated. I’m trying to gauge how much personal exposure I truly have beyond what my insurance is covering.
*(I understand this is not formal legal advice, just looking for shared experiences and general guidance.)*
Location: California
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