Innocent Co-Insured

Who is an innocent co-insured?

Risk Retention Groups

Risk retention groups serve as captive insurance companies formed to provide insurance to members of the group. Rather than purchase insurance from independent insurers, the group of companies forms its own insurance company. Companies with similar risk management concerns thus may exercise greater control over their insurance coverage, pricing, and claims administration.

Health Care Crimes

Insureds have an obligation to be truthful when dealing with their insurers in relation to their claims under insurance policies. However, insureds sometimes attempt to submit fraudulent bills in order to recover under their health insurance policies. In response to such actions, federal legislation was passed to make certain acts related to health care claims illegal.

Conditions Precedent to Uninsured Motorist Coverage

Uninsured motorist (UM) benefits are available to an insured so that he may recover from his insurer in the event he is involved in a motor vehicle accident with an uninsured driver. In order for the insured to obtain recovery under UM coverage, several conditions must first be met.

Unfair Claims Settlement Practices Act

When an insured or a beneficiary submits a claim to an insurer, the insurer has a duty to respond and to do so in a certain manner. The Unfair Claims Settlement Practices Act (UCSPA), a model act adopted in over 40 states, provides industry guidelines for the insurer to follow when paying or denying claims. In general, the UCSPA requires the insurer to act promptly and fairly in response to a claim with a reasonable basis for any denials.