The Artvoice reported today that Blue Shield California twice refused to pay $2,700 emergency room claims by Rosalinda Miran-Ramirez, concluding that it was not a “reasonable” decision for her to go to the emergency room that morning when she awoke to a shirt saturated from blood with what turned out to be a breast tumor. Only after KPIX-TV reported the story did the insurance company pay the claim. Further, it reported that the National Women’s Law Center found that the laws of eight states permit insurance companies to deny health coverage to a battered spouse (as a “pre-existing condition”) since batterers tend to be recidivists.
Recent Fourth Department Case Law
April 6, 2009
In Kmiotek v Chaba ____ A.D. 3d ____ the Appellate Division, Fourth Department set a minimum value for spinal disc injuries. The Appellate division also upheld the trial Court’s Order directing a verdict on the issue of serious injury. This case involves an appeal from a judgment of