Posted by defensebaseactcomp on July 6, 2012
July 7, 2003
Nine years ago you get that phone call you hoped you’d never get
But hey they say, not to worry, the insurance company will take care of everything
Heart is breaking but not to worry
Everything, they say, will be OK
Good thing we’ve been paying for good medical insurance
No way of knowing that the “insurance” was Defense Base Act through CNA, a policy we had never heard of, looked at, or signed for
Or that Administrative Law Judge Paul C Johnson would deem his injuries to be alleged when denying him his rights under the DBA
One day we’ll look back at this and be so grateful for our blessings, for what we’ve overcome………
But one day never comes
What’s that in the way?
CNA with the assistance of the Department of Labor District Office in Jacksonville
From failing to provide a medical evacuation and abandoning him to the military medical system to defaulting on the order to provide his medical care for nearly two years now after denying for six years.
CNA, their Claims Adjusters, their overly zealous legal representation, and the biased Department of Labor District Office have caused much more physical, mental, and financial damage than there ever had to be.
What should have been temporary disabilities have become permanent.
CNA has denied the looking back one day, the moving forward, the healing
If CNA had simply lived up to their responsibilities rather than playing paper games this family would have long moved on
And the US Taxpayers would not be paying ever more to the War Profiteers CNA and their “representation”
Documents showed that CNA reported the highest profits margins, taking in nearly 50 percent more in premiums than it paid out in benefits.
Posted in AIG and CNA, Civilian Contractors, Contractor Casualties and Missing, DBA Attorneys Fees, Defense Base Act, Defense Base Act Attorneys, Defense Base Act Insurance, Defense Base Act Law and Procedure, Defense Base Act Lawyers, Delay, Deny, Department of Labor, Dropping the DBA Ball, Exclusive Remedy, Hope that I die, Interviews with Injured War Zone Contractors, Iraq, Leishmaniasis, Misjudgements, OALJ, Political Watch, PTSD and TBI, Racketeering, Veterans | Tagged: ALJ Paul C Johnson, bad faith insurance, Civilian Contractor, Civilian Contractors, CNA, CNA DBA Casualty, CNA Insurance Company, CNA's Claims Adjusters, Contractor Casualty, DBA, DBA Casualty, Defense Base Act, Defense Base Act Attorneys Fees, Defense Base Act Insurance, Delay Deny Hope that I die, Department of Labor, DoL, Injured War Zone Contractor, injured war zone contractors, Medical Evacuation, Overly Zealous Defense, Overly Zealous representation | 1 Comment »
Posted by defensebaseactcomp on June 21, 2012
It is certainly going to have the desired result.
They are going to kill him and it is going to be soon.
Before the year is out I believe this man is going to commit suicide.
PTSD Claims to be Expedited
CNA’s Deadly Paper Games do not begin or end with this Injured War Zone Contractor
Nearly 14 months to the day of a Department of Labor District Director signing an Order approved by an ALJ stating that CNA must provide medical for a severely Injured War Zone Contractor’s injuries, the details of which were gagged…..
And 3 1/2 months after Injured War Zone Contractor asked the District Director to find them in Default for not doing so……..
CNA produces a stack of FAXES supposedly sent to Injured War Zone Contractors Doctors stating that they have “re-approved” payment of diagnoses and treatment, most of which were never approved, ever, much less “re- approved”. In fact for most of the Doctors CNA denied diagnoses and treatment for blast injuries for many years.
Several Doctors stated that yes they received a FAX but that it did not mean they accepted the approval and that it did not guarantee payment. Payment would have to made in advance. CNA’s reputation for non payment is no secret.
The rest of the doctors state that they never received “approval” at all.
Unemployed and otherwise uninsured Injured War Zone Contractor pays for some visits via credit card as they are so vital. Doctor then sends a bill to CNA for payment despite not having received an approval, which CNA refuses. Injured War Zone Contractors scheduled visits are then cancelled due to non payment by CNA.
These are deadly games CNA plays in order to continue to deny medical even after a hard won order is produced.
And who do they claim is vague, ambiguous, and whose claims are not supported by Facts, or should we say FAX?
It must be the very well respected and credentialed doctors, or the Attorney, or the Injured War Zone Contractor
This negligent paper game continues despite a recent medical report from February stating:
“I do not understand the entire bureaucracy issue. He tells me that CNA has written to us and that we are approved for Workers’ Compensation. We have no record to that effect. We are just not going to be paid and they are not going to authorize treatment. Bureaucracies have their problems but this almost seems to be purposeful.
It is certainly going to have the desired result. They are going to kill him and it is going to be soon. Before the year is out I believe this man is going to commit suicide.
And he’ll be just another CNA DBA Suicide.
Note: CNA’s response is to ask for an informal conference. Several informal conferences, a settlement conference with a Judge, orders signed by a Judge and the District Director, and yet another informal conference after an 18 month default is even a consideration??? Let’s just run this out until the end of year and we won’t have to worry about this guy anyway!!!!
Posted in AIG and CNA, AWOL Medical Records, Civilian Contractors, Contractor Casualties and Missing, Defense Base Act, Defense Base Act Attorneys, Defense Base Act Insurance, Defense Base Act Law and Procedure, Defense Base Act Lawyers, Delay, Deny, Department of Labor, Dropping the DBA Ball, Hope that I die, Injured Contractors, Interviews with Injured War Zone Contractors, LHWCA Longshore Harbor Workers Compesnation Act, Political Watch, PTSD and TBI, Suicide, Uncategorized, Veterans | Tagged: ALJ, ALJ orders, bad faith insurance, Civilian Contractors, CNA, CNA Insurance Company, CNA non payment of medical, Defense Base Act, Defense Base Act Attorneys, Defense Base Act Medical Denials, Delay Deny Hope that I die, Department of Labor, Department of Labor District Director, DoL District Director, Injured War Zone Contractor, Negligence, Post Traumatic Stress Disorder, ptsd, PTSD Suicide, Suicide, TBI | 6 Comments »
Posted by defensebaseactcomp on March 1, 2011
Bloomberg March 1, 2011
Jane Pierce spent nine years struggling alongside her husband, Todd, as he fought cancer in his sinus cavity. The treatments were working. Then, in July 2009, Todd died in a fiery car crash. He was 46. That was the beginning of a whole new battle for Jane Pierce, this time with Todd’s life insurance company, MetLife Inc.
A state medical examiner and a sheriff in Rosebud County, Montana, concluded that Pierce’s death was an accident, caused when he lost control of his silver GMC pickup after passing a car on a two-lane road.
Their findings meant Jane was eligible to collect $224,000 on the accidental death insurance policy that Todd had through his employer, power producer PPL Corp. MetLife, however, refused to pay. The nation’s largest life insurer told Pierce on Dec. 8, 2009, that her husband had killed himself. The policy didn’t cover suicide, the insurer said, Bloomberg Markets magazine reports in its April issue.
“How dare they suggest such a thing,” says Pierce, 44, a physician assistant in Colstrip, a Montana mining and power production city of 2,346 people.
She says she’s insulted that the man who courageously battled his disease for a decade was accused by an insurance company of abandoning his wife and two sons — one a U.S. Marine, the other a National Guardsman — and giving up on his fight to live.
Pierce argued with MetLife for months. She supplied the insurer with the autopsy report, medical records and a letter from the medical examiner saying the death was accidental. MetLife still said no. Finally, in May 2010, she sued.
In July, a year after Todd’s death, MetLife settled and paid Pierce the full $224,000 due on the policy. The New York- based insurer, as part of the agreement, denied wrongdoing and paid Pierce no interest or penalties for the year during which it held her money.
Life insurers have found myriad ways to delay and deny paying death benefits to families, civil court cases across the U.S. show. Since 2008, federal judges have concluded that some insurers cheated survivors by twisting facts, fabricating excuses and ignoring autopsy findings in withholding death benefits.
Insurers can make erroneous arguments with near impunity when it comes to the 112.8 million life and accidental death policies provided by companies and associations to their employees and members. That’s because of loopholes in a federal law intended to protect worker benefits.
Please read the entire story here
Posted in ACE, AIG and CNA, Delay, Deny, Follow the Money, Hope that I die, Political Watch, Racketeering | Tagged: bad faith insurance, Death Benefits, Jane Pierce, MetLife, Suicide | Leave a Comment »
Posted by defensebaseactcomp on January 31, 2011
We found this question being asked quite a few times this morning. We certainly do not have the answer. If we did this blog would not be necessary. The Department of Labor refuses to respond to our questions though they have a public information email address.
It is obviously not the Department of Labor or their Administrative Law Judges. They recommend and order that the DBA Insurer must provide medical care, is LIABLE for medical care, but they do nothing to see that it happens.
South African Injured Contractor Daniel Brink Loses Family, Loses
Home, nearly loses life due to CNA Insurance Company
They do have the ability to deny the right to sell DBA insurance to any of these companies that so recklessly delay and deny medical benefits that they have been contracted to provide.
Maybe the Department of Labor could tell us why they have not denied the privilege of selling DBA insurance to these companies who refuse to provide medical?
Posted in ACE, AIG and CNA, Civilian Contractors, Contractor Casualties and Missing, Defense Base Act Law and Procedure, Delay, Deny, Department of Labor, Dropping the DBA Ball | Tagged: ACE, AIG, bad faith insurance, CNA, DBA, Defense Base Act, Department of Labor | 4 Comments »
Posted by defensebaseactcomp on November 17, 2009
Workers Comp Insider is a favorite of ours here at this blog.
Their perspective on issues facing all aspects of Workers Comp are much appreciated.
Fraudulent claims and bad faith insurance practices are equally destructive to a system meant to protect both workers and employers. They’ll out you on both sides of the fence.
Thank you Tom Lynch, Jon Coppelman and Julie Ferguson for your honest and informative blog.
A few of our favorites are
Risk Transfer Without Risk
Bullshit as Science, The Fake Bad Scale
AIG in Iraq: A cruel way to make a buck
Workers Comp Insider Wins Top National Blog Award
Well, bust our balloons and call us surprised!
We learned yesterday that the Lexis Nexis Workers’ Compensation Law Center has honored the Workers Comp Insider with the award of Top National Workers’ Compensation blog of 2009. With so many excellent blogs being written now, we’re proud and humbled at the same time.
When we created the Insider in September 2003, we hoped that we’d attract others to join the insurance blogosphere, but we never imagined that so many superb professionals would join the blogging rolls. Now, to be singled out for this honor is more than a little gratifying.
I need to take a moment to commend and thank Julie Ferguson for hatching the idea in 2003 and for managing the enterprise ever since. Julie is one of, if not the, nation’s foremost blog experts, and we are lucky indeed to have her at Lynch Ryan. Moreover, she’s an excellent writer who’s written about a third of all our blog posts.
And where would we be without the tireless search for blogging excellence exemplified every day by Jon Coppelman, a bona fide workers’ compensation guru. Jon’s posts are always interesting, thought-provoking, honest and well-sourced. Judging by your comments, they can also be provocative and controversial, but that’s what the medium is all about. I’m thankful for Jon’s expertise and his friendship.
In making the award, here’s what the Lexis Nexis Workers’ Compensation Law Center said about the Insider:
Workers’ Comp Insider’s excellent coverage this past year of the side effects of the economic recession on workers’ compensation, from government bailouts to bankruptcy to fraud and more, made it our choice for the Top Blog of the Year 2009 on national workers’ compensation and workplace issues. Workers’ Comp Insider also proved again the power of a company blog to showcase the expertise of its employees as evidenced this year by articles in both The Washington Post and the Las Vegas Sun, which cited the Workers’ Comp Insider on the issues of death from a workplace injury and controlling workers’ comp costs, respectively. Workers’ Comp Insider’s in-depth research to uncover the best government and industry websites and blogs in the blogosphere was second to none in 2009, and enabled policymakers, journalists, and anyone with an interest in and passion for workers’ compensation and workplace safety to do a deep dive into a collection of online resources that they may never have heard of otherwise.
All of us at Lynch Ryan are committed to doing everything in our power during the coming year to justify this award. Thanks again to Lexis Nexis and thanks to our readers for joining us on the ever-fascinating journey that is workers compensation.
Posted in AIG and CNA, Uncategorized | Tagged: AIG, bad faith insurance, Defense Base Act, fraudulent claims, Jon Coppelman, Julie Ferguson, Longshore Harbor Workers Compensation Act, Tom Lynch, Workers Comp Insider | Leave a Comment »
Posted by defensebaseactcomp on October 26, 2008
Welcome to the Defense Base Act
$$$$ We are the Best Kept Secret of the Wars $$$$
and how should the taxpayer feel about them hiring “Reputation Management” Firms to cover up their cover ups?
Contact us at firstname.lastname@example.org
All comments made here are solely the opinion of the person commenting and not necessarily the opinion of this blog.
Posted in ACE, AIG and CNA, Civilian Contractors, Contractor Casualties and Missing, Defense Base Act, Defense Base Act Attorneys, Defense Base Act Insurance, Defense Base Act Law and Procedure, Defense Base Act Lawyers, Department of Labor, Dropping the DBA Ball, Injured Contractors, LHWCA Longshore Harbor Workers Compesnation Act, OALJ, War Hazards Act | Tagged: ACE, AIG, bad faith insurance, Chartis, Civilian Contractor, Civilian Contractor Casualties, CNA, Contractor Casualties, DBA Lawyers, Defense Base Act, Defense Base Act Attorneys, Defense Base Act Class Action, Defense Base Act Workers Compensation, Department of Labor, ISIS, LHWCA, OALJ, War Hazards Act | 10 Comments »