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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.
Citizens - Appraisal for homeowners and halting ordinance in law/personal items coverage.
Hi all! So I'm in the appraisal process for my homeowners- mine is a hurricane claim (wind only not flood damage). Do they halt processing stuff like ordinance in law while they are in the appraisal process? What about personal inventory items (yes, 5 months since milton and they have done nothing with that)? I want them to see the house stripped down so we still have another month until appraisal. What should I do? I have waited a very long time to replace things. I need stuff like a frige and other essentials. Atleast for the personal items i feel like i should get atleast an "estimate/supplement" thing generated before they start using it as a tool to negotiate paying me less.They said it will be resolved at the end but they have not been forthcoming to resolve anything nor do we see an end in sight. We are kinda going out on a limb and assuming that we are going to sue even after appraisal.
It's Florida and this is with citizens if that info is relevant.
Progressive - Progressive Diminished Value Claim
Progressive offered me $750 for diminished value based on costs they incurred for the claim. They did not even consider the actual cash value of the vehicle. For context, this is in Texas and the claim was made on the other parties insurance and I was found at no fault. The car is a brand new BMW M2 and the total repairs estimated around $4-$5k including labor. There’s definitely more than $750 of diminished value since this is a performance car and now has an incident on the car fax.
According to the representative, they are not willing to offer more even if I get an estimate of the actual cash value. Do I have any options outside of just accepting what I was given?
PetsBest - Thoughts on this insurance appeal for PetsBest
Recently, my cat had to be rushed to the ER due to urinary blockage (FLUTD) , I submitted his bills, which rounded up to 7k, but the insurance denied it as pre-existing.
* Pet had not prior diagnosis or sign of illness in the past with a clean record
* Vet stated that he had issues peeing in an instance of stress due to construction and not due to FLUTD, and recommended Feliway Diffusers
* Vet also wrote a letter for me specifying that the symptoms were not related to pre-existing FLUTD
Now at the time that he started to show symptoms of blockage and straining the policy was already active and the waiting period was over. Am I crazy for thinking that them using past symptoms that were specified to not be related to deny my claim is actually wrong, and this emergency should fall under coverage?
STD company - STD Overpayment
Located in Oregon, USA
Short Term Disability insurance related to parental leave
I took parental leave from work in 2024. My job/company is entirely remote, so my employer uses a benefits manager, JW, for payroll and insurance, and a third party administrator, Sparrow, specifically to manage short- or long-term leave, kind of like a concierge service for employees (because rules vary significantly from state to state). I signed the things that Sparrow told me to sign.
I was supposed to be paid from the state, from private STD, and topped up by my employer. I didn’t have a STD policy of my own; I was told that my employer took out a STD policy on its employees. Payments were confusing, delayed, and as a new parent I was not paying attention. I didn’t tally things up until recently to do my taxes. I’m missing a 1099 from STD so I called Sparrow, who said go to STD, who said go to JW, who said there was no STD policy for me… but if there was it should be in my W2. Taxes were withheld from STD so I said regardless of how we got here, I need an accurate W2, which is in the works. And it looks like I was overpaid by the STD amount.
Lo and behold, today I got a call from the STD company saying my STD claim was denied and submitted for overpayment. I kinda laughed… I’d just been signing paperwork and living my life. How the heck did they approve and pay a claim on a policy that does’t exist? And why did Sparrow/JW request that money? And why was I told it was my company’s policy? So I told the STD company that they can recoup the money from one of the benefits managers. This strikes me as an unenforceable request for repayment from me, but I don’t know what I don’t know and would appreciate any insight about how to navigate this. Thanks in advance.
SPOT - SPOT insurance denying coverage for hip dysplasia claiming pre-existing despite issue appearing 3 months after coverage began
**THE PROBLEM**
Our dog is a 7 year old English Bulldog. We had been with Nationwide pet insurance since he was a puppy and LOVED them! They were absolutely outstanding but then in 2024 their premiums went up like 3x-4x out of nowhere. I looked for some new providers and SPOT came in with a decent price (although still much more expensive than we were paying before). Our policy with SPOT started in August 2024 and Nationwide was cancelled the following month so there would be no lapse in coverage.
**THE BACKGROUND**
In November, he started having difficultly walking. I took him to the new vet he's been going to for the last few years and said it's hip dysplasia and is recommended stem cell treatment (we have stem cells stored with Ardent from when he was a puppy). I submitted the claim for his doctor visit and associated blood work and they denied it saying pre-existing condition. Apparently, in his medical records, back in early 2021 I had taken him into our previous vet because he was vomiting. They were concerned of a blockage (maybe ate something) and took xrays. They had made an incidental mention that bi-lateral his dysplasia was noticed while checking for blockage but that was it. I didn't even know about it. He never had any trouble walking, he was never seen for it, never received any treatment for it, and was never talked about or mentioned again by his previous or current vet.
**THE QUESTION**
Do I have any grounds or avenues for appealing this denial of coverage? On paper, they are saying pre-existing condition which I understand but he never was seen for it, never had signs or symptoms, never treated for it, and I didn't even know about it. It was an incidental comment 4 years ago while checking for something else. Since English Bulldogs are prone to hip dysplasia, I don't think it would be uncommon to observe some level of it - He was only 3 years old at that time. I live in CA if that matters.
AHCCCS - AHCCCS denial
Hopefully this is the right place to post. Did AHCCCS get harder to qualify for in terms of paperwork or proof requirements? When I applied in 2021 I just sent in bank statements. Now they want 7 different pieces of evidence to prove self employment for my wife. She makes like $5k per year and is thinking about not working all together to qualify. When we called to ask them about not working, they said we’d have to prove that too… WTH ! Thanks,
State Farm - claim on house with state farm
adjuster trying to say a hail storm a week after wind storm (prior hail was photographed 3 weeks ago) would require a double deductible. is this common practice with state farm trying to get out of paying even half of what it costs for a new roof
Allianz - Allianz and pre existing conditions
I unwisely booked a 4 day festival ticket that I don’t think I can attend. I have a pre existing condition and at the time, I didn’t consider how my impaired my mental and physical stamina is.
I’m trying to file my claim but I’m worried because pre existing conditions are excluded.
I’m seeing a psychiatrist and therapist about OCD however (which factors into why I can’t go all four days). Will Allianz accept this reason and documentation for it?
Healthy Paws - Dilemma with 9y/o dog - need advice
I have a 9 year old mixed lab. He was insured as soon as we got him through Healthy Paws and he has been relatively healthy since; however, we received a notice last week his premiums would be increasing from $84/mo to $194/mo.
I found via reddit this was common for other California customers and reached out to a contact I found on reddit, only to receive a canned response about “increased vet costs” - no sir, vet prices do not increase 128% YoY. We also started at less than $40 a month, so costs for us had already doubled in 9 years.
My dilemma: I can find pet insurance from Spot, Figo, PetsBest (literally anyone) for cheaper than $194. His only preexisting condition is hip arthritis at this point, although he does have random lumps that the vet said were harmless. No idea if those are in his medical history.
Do I sign up for a different insurance company knowing I risk them doubling rates next year, and/or possibly claiming everything falls under preexisting conditions? Do I start putting away money each month and hope for the best? What would you do?
I’m so frustrated as we bought into the pet insurance thing and would have been better off starting a savings account for him 9 years ago. But now here we are, tens of thousands paid to a company who actively wants to screw us over so we cancel and no savings specifically for the dog or money to throw around for vet bills.
Geico - Cancellation Due to Roof Damage
I have a somewhat unusual situation. I live in FL and my roof is 18 years old. I have been with Geico for 4 years and I recently got my PMI deleted and when I called the mortgage company they said oh we have this partnership with this broker and could get you a discounted policy. Great, did that, saved about $900 for the year, new policy started mid Jan. I told the broker about the roof and didn’t want to switch until they confirmed it was OK and he said yes. Well I just got a cancellation notice for 4/1 due to some broken shingles so will only be with them for 2.5 months unless I submit repairs. I actually already had a few roofers come out earlier in the year. I contacted them and everyone said the repair vs replacement timeline would be about the same. So, I signed a contract for a replacement and permits were submitted a few days ago. They are going to try to get it done before 4/1 but can’t guarantee it.
I submitted my contract to the broker and asked for a 30-60 day extension for the cancellation. Seems to me that it would be better to keep the policy on a brand new roof and not refund me the yearly premium around 4/1 if they can wait a month or 2 but whatever.
Here is my question. Should I start contacting other companies now? Do I have to disclose the cancellation notice? Will they take notice to the fact that I was with one company for years and this new company for ~2 months. I don’t have any insurance claims on anything in the past 2 decades and that is a database they can search, correct?
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