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OptumRx - Optumrx keeps sending medications against approval?
I have messaged optumrx several times to stop automatically filling medications for me. I would like to do it manually because many times my doctors send orders for as needed medications that I use maybe once or twice a month and have years worth of usage from constantly having it sent. Despite attempts, they never fix the problem. What can I do?
Age 28, state FL, gross income 80k
Nationwide - Nationwide 3x my monthly payment
I’m so frustrated, I have a shih tzu 13 years old who doesn’t have any major problems, other than a collapse trachea and anxiety. But nationwide made my payment $300/month. How am I going to afford this?!
Progressive - Progressive claims they paid $5,000 to pick up my car from the tow yard. Tow yard is claiming Progressive paid them nothing.
Hi, I am really lost and in need of advice. I was involved in an accident where my car had to be towed away (edit: to a combined autobody & tow shop). Because the airbag deployed, they were assuming it would be totaled, and Progressive said they were coming to pick it up to evaluate the damage themselves; not allowing the body shop to give an estimate. (edit: 2013 Kia Optima) I was told by Progressive that the driver at fault carried the minimum property damage allowed by the state of Maryland and he was "afraid we were nearing that limit since they paid $5,000 to get my car released from the tow lot." My car was there for 1 week (8-5 thru 8-12) and I released it to Progressive on (8-8), they just didn't pick it up until today, 8-12. I thought that was a crazy amount, so I called the tow yard(edit: combined tow yard/body shop). They claim Progressive did not pay them a dime. The body shop only received a check from a salvage company (which I didn't (at least knowingly) authorize, and they don't even have proof of the title in my name.) The tow yard (edit: combined tow yard/body shop) is claiming that even though they got a salvage check, that shouldn't affect the amount insurance should pay me. Does anyone have any additional information or advice? Is this just a "he said / she said" situation? TYIA!
KIA Insurance - Totaled car, no collision coverage, still owe money on loan. What do I do?
I hope I'm in the right sub for this but I'm not sure, if there is a better place for this post please let me know.
So I got into an accident that I was at fault, I do not have collision coverage, and I still owe about $19,000 on the vehicle. I asked my insurance and without coverage there is nothing they can do. It is not drivable and the air bags deployed. There is heavy front end damage but the rest of the vehicle is fine. I've only taken it to one shop for an estimate because I don't want to keep paying for a tow to get different quotes and they all end up being close to the same amount anyway. The estimate I got was $20,000 to fix it, so I'm not going to be able to afford that, and even if I could I don't see how that would be worth it. The car before the accident was probably worth $20,000 - $25,000 at most. (2022 KIA K5 GT LINE). I have pictures of the vehicle as well but wasn't sure if I was allowed to include those in the post.
So as far as I see it, it's going to just sit somewhere until I pay off what I owe. So instead of paying a storage fee to keep it somewhere (my apartment doesn't allow vehicles that aren't drivable to stay in the parking lot), I want to either sell it or scrap it. Whatever I decide to do with it, I want the next tow to be the last.
If I can make a little bit of money on it, great, if not then like I said if I can at least avoid a storage fee or paying to tow it several times that's a win for me. Anything I do make would go straight towards paying it off anyway. I'm already pretty screwed, paying on a car that I can't drive so I'm trying to see my options and cut my losses.
I've gotten suggestions to declare bankruptcy, sell it, scrap it, keep it, sell all the parts individually, sell it as a whole for parts. A lot of the issue is, I don't think I can sell it, even to a salvage yard, without paying it off first, so what do I do with it until then? That's going to take a long time for me. I can't afford to fix it, can't sell it, scrap it etc. What do I do?
And I understand I'm not going to make money on this, I understand I'm screwed either way, I understand that I will not financially recover from this for quite some time. So I'm just asking what is my best course of action to cut my losses as much as possible? Is there a way to sell it before paying it off? Do I need to let the lender know about the accident? Is there a different way insurance can help even though they said they can't? Is there a service or organization that helps with this sort of thing? Should I declare bankruptcy?
Allstate - Allstate reversed liab over 1 year later..
Friend was in a MVA where she was going straight, CV was coming down driveway. CV did not stop, was given citation for reckless driving. She was injured, sought normal treatment. Ambulance/ER/PT/some testing. She had wage loss. VA is the state. Allstate found their insured 100% AF. Zoom forward over a year, 7 months out from SOL in VA. Demand got sent. 1 month after demand sent, Allstate changes liab states 'obtained data' speeding at 12.8 mph over limit on our side. That REALLY is not adding up for this road. There were no skid marks and she slowed down and moved into the other lane trying to avoid but the guy never looked... The PR shows she was doing the speed limit, however, the officer did not arrive or witness any speed. The other guy admitted it was his fault on the scene, but by the time he was being given the citation his fam was there insisting she was speeding(they didn't even see the accident... would be biased anyways). I find it mighty fishy it would take this long for any process to be started on an EDR and I work in insurance, I've never even seen a claim where EDR was pulled on a personal auto. I don't know how they obtained any data bc at this late in the claim I think chain of custody would be an issue and also the extraction method. I'm not sure where that vehicle has been bc it was a TL. Since VA is pure contributory, now with the reversal it's heading to our insurance, which is fine, we had the coverages. The issue lies with the pure contributory. If our insurance also finds the same, they could deny as well is my understanding. I doubt they will, but it's still quite concerning. How is this not a bad faith claim? Doesn't the VA statute say they would have to get permission to access that type of data? Don't they have to be forthcoming on how they obtained that data? This is a very weird situation and could end up costing a lot of money if both ins companies end up denying liab. Allstate already paid for the TL a long time ago. My understanding is even if the title was signed over, the VA statute states they can't access without request since they are an insurer and not using the vehicle for daily routine use. I'm not 100% they pulled EDR, but I can't figure out anything else that makes sense with that verbiage they are delivering. Any ideas?
Geico - Unique claim situation - car title and registration not under my name
I am currently a policy holder with Geico and have have owned my car (beater) and insured with Geico since last 7-8years. Today I got a phone call from Geico for a claim against me and it got added to my account. (I have no current relation to this vehicle and the date and time that they mentioned I was in office)
Background (Spring/Summer 2023):
* I was briefly on my family member's insurance with Geico \~2years ago
* Family member sold/transferred the car to the new owner \~2years ago
* Family member did car's transfer paper work including release of liability
* The new owner did confirm that they went to DMV and transferred the car under their name within the 10 business day period
* Family member canceled the Geico policy which I was part of as well (secondary driver) since I would occasionally drive this car (there is an email confirmation from Geico for cancellation of the policy, also \~2 years ago)
* To reconfirm family member spoke to DMV agent through chat and they confirmed the car's title and registration was not on their name anymore (however due to privacy they didnt mention the new owners name) - Their is saved transcript from \~2years ago
But \~2years later a claim gets added on my Geico policy for this vehicle. At this point this vehicle ownership is not under me or my family. The vehicle was sold/transfer to new owner back in 2023. Assuming the new owner that took the ownership of the car got into an accident but I have nothing to do with this.
Spoke to Geico and did not get clear instructions at first and then the last customer service agent tells me to provide proof that there is no relation to this vehicle.
I and family member who owned this car previously not sure how to handle this situation.
Anybody experienced anything like this before? Appreciate any comments
USAA - I was in an accident and the insurance company immediately folded. Please help
I was in an accident recently and i signaled and looked behind me and merged rightward into a middle/center lane. As I did so someone came flying up from behind me and I believe they very likely merged leftward into the same center lane, and I struck their aft portion of their car. Like their quarter panel and rear door (it was a four door car).
I hit with the front of my car. like my right-side turn signal and bumper cover hit their left-side rear door and quarter panel.
Not much damage to either vehicle but certainly much more to the other motorist's car. They will probably need a new doorskin and new quarter panel or at least serious bodywork to repair the damaged panels.
Anyway, my insurance coverage does not include collision or comprehensive. Which is fine. I prefer it that way.
I thought it should've been mixed fault or not my fault at all but in one week my insurance USAA has found me liable.
There were no other witnesses, no passengers in either vehicle, and no camera footage.
I forgot to take photos of either vehicle and so did the other motorist as far as I know. We only took photos of each others' insurance cards.
They said due to the location of the damage on both vehicles (i never sent them a photo of either vehicle so other than my words and the cop's words they don't know where the damage is on my vehicle) and due to the police report, they are making this decision.
I called the police department to get the report and not only do they want 10$, but they said the only way my insurance company could have the report is if they solicited to lexisnexis via snail mail. If that is true, then I suspect there is little that in ~6 business days they got the report.
I was unsure what happened and the old lady who hit me/I hit was very adamant it was not her fault, which I guess is what I should mimic in the future, even though anyone with half a brain knows that in many accidents, eyewitness testimony is unreliable.
I did not admit fault at the scene or to anyone
I have a career where my driving record is important and I really don't want my insurance to go up. The adjustor is being noncommunicative. Please help
Pet’s Best - Pet’s Best
I’m not having a good experience with Pet’s Best. Started my policy in November for a 3yr old rescue. It has been about 4 weeks since I submitted my last claim. Emails came saying they’ve reached out to (wrong vet) for medical records. I call my vet and they get emailed to PB within minutes. Today I get another email asking for my help. I forward the same email from my vet to them. Then sign in to see they have all the medical records and have labeled them “valid”. It’s almost like they’re holding off until I get charged for another month.
Meanwhile, they reimbursed for hookworm medication within a week of submitting the claim. That was my latest claim.
Healthy Paws Pet Insurance - Healthy paws pet insurance
Is it even legal for Healthy Paws pet insurance to increase premiums at almost 200% in CA? This is outrageously high!! Anyone experiencing the same?
#healthypawspetinsurance
homeowner’s insurance - [US-California] Follow-up: Sued after selling home over HOA dispute and property damage claims
Hi all — I’m following up on a post I made over a year ago regarding a dispute with my former neighbor in an HOA community:
[Original Post](https://www.reddit.com/r/legaladvice/comments/17kskaq/neighbor_wants_us_to_remove_trees_trench_and/)
At the time, the neighbor was demanding that I remove trees and trench my property due to alleged view obstruction and root intrusion. I consulted with an attorney back then who told me to wait and see if the neighbor actually filed a lawsuit, as the demands seemed like a scare tactic. Their advice was to assume he might just be bluffing unless I was formally served.
**Fast forward:**
I sold the property and moved out of the HOA community. A few weeks **after the sale was finalized**, I was served with a lawsuit from the same neighbor. The lawsuit includes eight causes of action, mostly related to HOA CC&R violations, nuisance, and alleged property damage from tree roots.
**The plaintiff is still a member of the HOA. I am not.**
I no longer owned the property and was not a member of the HOA when the lawsuit was filed.
**My homeowner’s insurance is providing a defense attorney that will be defending me wholly but will only financially cover the property damage claims.**
They will not cover any claims related to HOA CC&R violations, "loss of enjoyment," nuisance, or attorneys’ fees.
The claims adjuster also told me that I could be responsible for the plaintiff’s full attorneys’ fees if he prevails on **any portion** of the case, even a minor claim.
They are pointing to this clause in the HOA CC&Rs:
*(i) Attorneys Fees.*
*Any judgment rendered in any action or proceeding pursuant to this Declaration shall include a sum for attorneys’ fees in such amount as the court or arbitrator, as applicable, may deem reasonable, in favor of the prevailing party...*
# 🔹 What I’m really trying to understand:
Does the HOA’s CC&Rs and this attorneys’ fee provision still apply to me, even though:
* I was **not a member of the HOA** at the time the lawsuit was filed.
* I had already **sold the home** and was no longer bound by the CC&Rs.
* **The HOA did not have any open or pending violations against me at the time of the sale.**
* The claims are mostly based on alleged violations while I lived there.
Is it common or even legally valid for CC&R provisions to be enforced against a **former homeowner**, when the lawsuit was filed after the sale?
**Has anyone dealt with a similar situation?**
Any legal insight, personal experience, or thoughts would be really appreciated. I’m trying to gauge how much personal exposure I truly have beyond what my insurance is covering.
*(I understand this is not formal legal advice, just looking for shared experiences and general guidance.)*
Location: California
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