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United Healthcare - Looking for advice on next steps regarding backdated insurance termination and denied medical claims (Texas)
I was insured through United Healthcare via my employer in Texas. My employer paid premiums monthly to cover the following month’s insurance (monthly payroll).
On March 12, 2025, all employees were notified via work email that we were being placed on unpaid furlough effective immediately. We were told we would still be paid for work performed from March 1–11, with payroll running as usual at the end of the month.
I didn’t hear anything else from my employer until April 2, when I received a letter in my personal email stating that we had all been officially terminated effective March 21, 2025.
The issue is that I saw a specialist and had exams done on March 24, unaware that I had technically been laid off on March 21. The same day I received notice of separation (April 2), I called United Healthcare to check on my coverage. They told me my insurance appeared to be active and didn’t show any indication that it had ended.
However, when I checked the United Healthcare app today (April 5), it now says my coverage ended March 21, and they have denied the claims from my March 24 visit.
I had no way of knowing my coverage (or job) had ended at the time of the appointment. I’m concerned my employer backdated the termination or insurance cancellation, and I’m now stuck with bills for services I reasonably believed would be covered.
Has anyone dealt with something like this before?
What are my options here? Should coverage have continued through the end of March?
Additional information: I have since found out my employer filed for bankruptcy, without letting any of us know, and none of the employees were paid for their time worked in March 1 - 11th.
Any help or guidance would be appreciated I’m unsure how to navigate this situation.
Accident and Insurance - Accident and Insurance wants excluded drivers info
I recently got into an accident, where I was the only one driving, and there was no one else in the vehicle with me. I was reversed into and the other person that was driving only provided me with their ID, no insurance, and they only had a temporary plate on that was expired. Key note: they were at fault and offered to pay for it but my car is 2024 vehicle so I need to claim diminishing value.
My insurance after submitting my claim, reached out to them, but they have not responded. Now my insurance wants my excluded family members insurance information even thought they were NOT in the accident. I don’t think this is normal and a bit sketchy. Any thoughts or recommendations?
I’m thinking of looking into an insurance client advocate or legal help if needed. For reference, I live in LA county California
insurance company - I need legal advice after having a wreck
Location: Oklahoma
I need some advice and around march I had a bad wreck and totaled my vehicle . I still owe money on my vehicle loan that I don’t have right now, and my insurance company is stating that I need to pay off the loan or give them my vehicle back. The body shop said I did roughly $9000 in damages. But I had 2 different mechanic friends say that they can fix it for $1000 to $2500 max. My plan was buy the vehicle back and get it fixed for around what my friends told me. My insurance company is telling me that I need to pay the loan off or give vehicle back to them before they do anything. I would really like to keep the vehicle and fix it. It seems shady that it would have to go to an impound. What do I do? I have the vehicle at my home right now and I don’t have the funds to pay to have it towed an hour away or an hour back.
Royal & Sun Alliance Insurance - Fighting Insurance Fraud & Corruption: My 4.5 Year Battle with Royal & Sun Alliance Insurance (Birmingham, UK)
**Location:** Birmingham, UK
**Type of Insurance:** Home Insurance (Subsidence Claim)
I'm sharing my experience dealing with what I believe is systemic fraud by Royal & Sun Alliance Insurance (RSA) and their loss adjusters, Crawford & Company. After 4.5 years of battling for a fair resolution to my subsidence claim, I've submitted a formal escalated criminal complaint to the Chief Ombudsman following their recent decision (PNX-5126400-B7P5, January 24, 2025).
# Background
In September 2020, I filed a subsidence claim with RSA. The Ombudsman has already acknowledged RSA's "shockingly poor service" and "significant avoidable delays" in their decision. However, my complaint goes much deeper than poor service.
# The Evidence I've Gathered
Over these years, I've collected substantial evidence of what appears to be deliberate misconduct:
1. **Fabricated Complaints**: RSA created three fake complaints (January 30, September 26, and December 7, 2024) to manipulate regulatory timelines and circumvent proper oversight.
2. **Falsified Technical Documents**: Key claim documents including the Schedule of Works (SOW), Certificate of Structural Adequacy (CoSA), and Forms of Acceptance (FOAs) appear to have been fabricated. Metadata analysis reveals these were created in 2024 but backdated to 2021.
3. **Data Protection Violations**: My Data Subject Access Request (DSAR) came back with approximately 73 critical documents fully redacted and many (around 50+) others improperly withheld.
4. **Claim Reference Manipulation**: RSA repeatedly changed my claim references (from SU2004338 to 1781135 to 202405326), seemingly to obscure the complaint history and make tracking impossible.
5. **Conflicts of Interest**: The person investigating my complaints at RSA was directly implicated in the issues I was complaining about.
# Most Concerning Evidence
What troubles me most is that when I examined the Certificate of Structural Adequacy, it falsely claimed that Leo Horsfield (the structural surveyor) recommended removing an ash tree that had already been felled two years before they were even involved in my case. This demonstrates deliberate falsification, not just an administrative error.
Similarly, the Schedule of Works was created on April 30, 2024 (proven by metadata), yet RSA claimed it existed since July 2021. When challenged, they couldn't produce the original document.
# Where Things Stand Now
The Ombudsman's decision acknowledged the poor service but couldn't address the potential fraud due to their limited remit and outside timeframes of this particular complaint. I've now escalated to the Chief Ombudsman, with copies to the Financial Conduct Authority, Information Commissioner's Office, and Serious Fraud Office.
My 122-page complaint (filed 02.03.2025) meticulously documents every falsified document, fabricated complaint, and regulatory breach with supporting evidence. I believe RSA's actions go beyond poor service into potentially criminal territory.
# What I Hope For
I'm sharing this to warn others and hopefully connect with people who may have experienced similar issues. I also hope that by bringing awareness to this case, the regulatory bodies will give it the serious attention it deserves.
Has anyone else experienced anything like this with RSA or other insurers? Any advice on navigating this process would be greatly appreciated.
Figo - Figo renewal going up 40% this year?
Is anybody else's Figo insurance going up 40% in 2025? My rate is going from $425/yr to $700/yr. I reached out to Figo and they blamed inflation of all things, saying nothing could be done about the price. I was told Figo was one of the better companies by all my pet owner friends & family, but they have never covered a claim and at these rates it would be cheaper for me to just put aside $50/mo. Really frustrated and looking for advice.
State Farm - Statefarm canceling my insurance.
So I recieved notice today that Statefarm is canceling my insurance because of three accidents going back to 2022. Two were not my fault, I was rear-ended in both. Is this typical? What insurance company you recommend?
TIA!
Progressive - Applying out of pocket costs towards a deductible?
Windshield had some severed cracks that started to spider out and had to be fully replaced/recalibrated.
Before having it fixed, I filed a claim with my insurance company (progressive). My claim was denied as I hadn’t yet met my comprehensive deductible and didn’t have glass coverage at the time. I added the glass coverage a couple weeks after the claim was denied to make sure I’m covered in future events.
I finally saved up enough to have the windshield replaced and recalibrated just this week.
My question: Is the amount I paid out of pocket for this replacement eligible to go towards my comprehensive deductible for any future issues?
My biggest concern is that I just don’t want it to look like I’m trying to commit insurance fraud by submitting a second claim for the same thing after just adding the glass coverage.
Appreciate any help.
Nationwide - Best insurance for only accidents, etc?
I have a 5 year old maltese with no pre existing conditions and currently use Nationwide. My dog had to have a simple surgery to have something removed on her eyelid and Nationwide only paid out ~10% of the claim. I am looking to switch carriers in exchange for better coverage.
If I only wanted to insure against accidents, unexpected events, and not routine care like vet visits and bloodwork, what pet insurance company offers the best value? I am a bit lost and the marketplace for pet insurance seems to be large and growing. The goal is to have a lot of coverage for, say, a $4,500 surgery as the result of something unexpected.
What does everyone think?
Meemic - Car deemed total loss but still driveable
Hello
I hit a deer a couple of weeks ago with our 2015 Subaru Outback. The damage is simply cosmetic, but our insurer (Meemic) deemed it a total loss.
The car probably has another 100k miles of life left and the absolute LAST THING ON EARTH we want to do is deal with buying a car again. We haven't built up the reserves to pay cash, and I just about refuse to pay interest on such a miserable asset through a car loan.
Can someone help explain to me the insurance issues moving forward as we *will* continue to drive this vehicle? What to prepare for?
Nationwide Insurance - Nationwide Insurance - RIP OFF!
Right after the hurricane, my car insurance with Nationwide went up to $220/mo (was $150). They told me it was the best rate they could get for me...yeah right! With a late fee of $30, I have been paying $250/mo! I just went with progressive and am back down to $150/mo with good coverage...200 deductible, car rental, roadside, etc. Nationwide was a total rip off.
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