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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.
Progressive - Progressive - what counts as permissive use?
My boyfriend was driving my car when it was hit from behind. Car A hit Car B that then hit me, then Car A fled the scene. My boyfriend does not live with me and he doesn't regularly drive my car. We did a road trip 2 years ago, where he did drive my car a lot, so he told the insurance he drove it 20 times in the past two years.
Now they're saying I have to add him to my policy because he's a regular user of the vehicle. I can exclude him from the policy for less money. Is there any way that I can insist he doesn't regularly use the car besides what I've already said? In the recorded interview, he said that, in a given month, he doesn't use it. Could they say that, because he's a regular user, they will reject the claim, even if I do pay to exclude him from the policy or add him to the policy retroactively?
unknown - Insurance Help
Hey all,
Ran across something weird today. I was notified by my son’s pediatrician office that his provider was not covered under our insurance plan. We have been going to this provider without issue and picked this provider based on the fact that when we searched him on our insurance website, it listed him as in network. I contacted my insurance company, and they reported to me that on initial search based on NPI, he was a covered provider.
I called the billing office back and they said to give the insurance company the tax ID to search. I did this, and my insurance said the tax ID was not covered, but when the tax ID and NPI were provided, it was listed as covered.
My insurance called the billing department, and they told my insurance that they do not accept my insurance plan, only certain policies under my insurance provider, but not my specific plan.
The medical office told me they would be resubmitting the prior claims since they should not have been processed as “in network” and that I would be responsible for payment since it’s out of network.
I can’t make any sense of this. All prior claims from the visits were processed and covered by my insurance, but now the medical office is claiming that they have always been out of network? Why would they have been billing my insurance if they were in fact out of network? Any help or insight would be helpful!
American Family Insurance - Homeowner's insurance options for rebuilding back much smaller in case of a total loss
First time posting on this sub, and this topic is difficult to search, so sorry in advance if it is redundant. Tried posting a similar thing on greenbuildingadvisor, but they're not much focused on insurance, though did get some good feedback. I just got the latest in a series of substantial increases in our homeowner's insurance premium from AmFam, this time a 42% raise. No claims, ever, and we don't live in a state with hurricanes/fires.
This is not me whinging about yearly increases (though it's certainly not my favorite email this week). Our case is somewhat different in that if we were to have a total loss, we would build back much smaller than the current size of our home. So what we would actually need is around 50% less than calculated by AmFam. But AmFam won't give us a quote that represents that goal, they will just go based on their algorithmic calculation of building back as is, 100%.
I know we need to maintain at least as much coverage as our outstanding mortgage balance, which right now is about 40% of AmFam's calculated 100% replacement value. So that is our floor, but we would probably be looking at 50% as the level we would want.
It has been a challenge to find insurers willing to create policies that insure for less than their calculated as-is replacement cost. One option I found was American Modern, but I got distracted after talking to their agent 6 months ago, and I have read some terrible reviews for them. The recent AmFam increase caused me to be undistracted again.
So my question: Does anyone have recommendations for processes or companies that will help achieve my goal of getting a policy with a 50% replacement cost?
As an aside: if efficiency and sufficiency are sometimes goals with building (obviously not for everyone), it seems like it should be more straight forward to build back smaller in the case of a total loss, but the insurance part of that equation is really geared toward as big or bigger.
Progressive - Gap + Auto Insurance, Totaled Car
So the story goes: My friend in Texas totaled his car by hitting a mailbox. He has Gap insurance from the dealership, and auto insurance from progressive.
Auto insurance agent told him they're going to pay the dealership instead of him.
Can friend demand direct payment to himself, as the policyholder? Can his insurance just send the check somewhere else like that?
The gap insurance should handle everything on the dealership side, so I don't know why his insurance company would be giving the dealership anything.
Geico - Geico insurance auto damage claim
I recently settle down with Geico for an auto damage cost and they sent me a link where I can put my banking information for direct deposit, despite verifying with the bank about the entered information being corrected the website still shows "please verify the information for accuracy" I even used a family members card which didn't work, so then they automatically issued a check which never came despite being more than 10 days, I called them again and they said there's nothing they can do but issue a new check or redo the direct deposit which I did and still failed to verify the banking information, I suspect this is a system error, I'm currently waiting for the second check but I'm very anxious whether the check is gonna come or not? What should I do in this situation. Geico isn't able to track where my check goes
my ins co - In which states are balance billing waivers illegal?
I reported a provider to my ins co for balance billing. The provider wanted me to sign a waiver allowing them to balance bill me. I asked the rep if this waiver is illegal, and/or would it get the provider kicked off for violating their contract. I really couldn't get a straight answer. I was just told that unfortunately a lot of providers do this, and there's no guarantee of what will happen to them.
Is it worth it to also report them to my state's insurance division? I don't want to waste my time if these balance billing waivers are legal.
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.
Lemonade - Lemonade Pet Insurance Claim
My dog was thrown off a balcony by what I believe was the neighbors kid. Broke both of her front legs.
I have the police involved and investigating. The vet bill was over $13k. Her bones are being fused to reduce the chance of lifelong pain from this.
Here’s the deal, I put $5000 down for the surgery (and paid another $1500 for the initial emergency vet visit.) The claims rep is asking for proof the balance I owe the vet is 0 and that the invoice is paid in full.
I read the policy and there’s nothing in there that says I have to prove that it was paid in full.
The closest I found was this:
“Submitting your claim
To expedite your claim review, please file your claim as soon as you can. However, in cases where this isn't possible, we'll accept claims for review up to 180 days from the date of treatment. We require itemized invoices and receipts detailing your pet's information, date of treatment, cost of the services, and the vet's information. You must provide all requested information and documentation during the claims process. All claim payments will be made to you, unless otherwise assigned by you and agreed to by us.”
I pointed this out, told the agent I provided all the listed information and also pointed out that she has already tried two times to falsely deny my claim. (Initially she said I had coverage with someone else then said my policy was canceled.) I also asked her where in the policy I am required to provide what she is asking.
Can they force me to pay this in full before they refund me? I put the $5000 on credit cards with a 40% interest rate so I’m trying to get this resolved asap. I’m beyond stressed, but thankful the vet at least allowed us to put $5000 for surgery instead of forcing us to put her down because I don’t have access to that sort of money. Even the $5000 was difficult to acquire.
Yes I realize now I made a bad insurance decision but that doesn’t help me in this immediate moment.
State Farm - Umbrella worth the cost?
Like home and car insurance in California, looks like Umbrella premiums have gone through roof. Is that true for others in Cali? I'm with State Farm.
$2M umbrella was a few hundred dollars last year; renewing now at $2400/year (no claims, no accidents, no lawsuits). 3 cars; 3 drivers. Own home. No pets, not much liability.
Anyone else got this sort of increase year over year?
GEICO - GEICO wants me to get them the police report.
Hi Insurance!
I had a roommate with a mental health condition who wrecked my apartment when I was gone. They had to be medically detained for mental health reasons. I filed a claim right after and included police report number in it with list of items and proof of ownership. They said they accepted the proof of ownership and claim but want me to get them the copy of the police report. Now I have to wait 10 business days. Doesnt GEICO have like backend ops team or something that does this kind of work?
TLDR: GEICO wants me to get them the police report, which will take 3 weeks approximately (buffer included). Why cant they do this faster themselves?
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