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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.
GEICO - Got quoted 300 last week now I’m getting quoted 500 same exact info
Got a quote from GEICO like around a week ago for 299 and month for full coverage, it’s the cheapest one I found compared to other insurance companies charging me 2x that at 18 I called GEICO and ran through the quote with him for a 2022 Hyundai Elantra limited he said it will be 304. That car ended up getting sold I found a new car I wanted clean title not a rental 7k miles 2024 Hyundai Elantra sel I got quoted $299 for it last week. Now I did another quote for the same car it’s all the same info I had last week and now it’s at $540 a month. I called and the GEICO guy said “rates can go up” and I highly doubt they go up $250 in a week. He did say my $299 quote sounded unrealistic and they whouldnt quote that when I literally have the saved quote on my GEICO app.
I’m just wondering is this normal? And I can still buy the $299 a month quote right now since I did save it but I am scared they will raise my insurance prices to 550 a month after the 6 months. I do have screen shots of both quotes but just can’t add them. Should I buy the $300 a month quote since it’s the cheapest I found or will GEICO raise my rates after 6 months.
Assurant - Flooding Claim in Chicago - Help Assurant just said they are denying coverage
The facts:
I am a RENTER
I Rented a unit in Chicago that is a fully furnished basement “garden level” unit
Lease Term: 2 Months Fully Furnished Unit
Day of Loss: July 7th 9 to 12pm
Insurance: Assurant
What the Insurance has stated: Please refer to your policy language:
SECTION I – EXCLUSIONS
Water Damage, meaning:
a. Flood, including but not limited to flash flood,
surface water, waves, including tidal wave and
tsunami, tides, tidal water, overflow of any
body of water, or spray from any of these, all
whether or not driven by wind, including
storm surge;
As far as you loss of use per your policy language:
If a loss by a Peril Insured Against under this policy
to covered property or the building containing the
property makes the “residence premises” not fit to
live in, we cover the Additional Living Expense.
At this time the preliminary findings for the cause of loss is not a covered peril. I will further investigate claim and follow up w/ you regarding the status.
I also left a voice message on your voice mail.
I read all of this - The Owner of the property that I am renting from said that the Plumbers Official Report was that the water was sewage water and it came from the toilets. For context the water rushing into my place was what woke me up and I woke up in a panic to put all belongings on spaces that are high enough for them not to be damaged.
The unit has been deemed uninhabitable by the Owners insurance and I do not have a home at the moment. AS of today my hotel stay has ended and I am down about 2k for trying to staying here.
Any help would be greatly appreciated as I do not want to be homeless in less than 24 hours.
Cigna - Seen by different doctor than I scheduled appointment with -- owe $1000
Hi All,
I'm hoping you can help me review my options and come up with a plan for a recent unexpected (and I believe inaccurate) medical bill. I get annual cleanings and other routine dental care (e.g. 1 set of x-rays a year) for free under my dental plan. I have just recently gotten off of my parent's insurance and onto my own plan so I made sure to double and triple check both on my insurance provider (Cigna)'s website and on Zocdoc that I was booking an in-network appointment. At my appointment, however, I was seen by a different dentist than the one I booked with who ended up being an out-of-network dentist. I was surprised by a $400 bill from Cigna, which should have been $0, several weeks later. A fruitless chat with a Cigna rep led to them reprocessing my claim, even though I knew it wouldn't do any good since the information submitted by the dental office showed that I was seen by the out-of-network dentist. A week ago the claim was processed and my bill went up to nearly $1000 because they say the facility is out of network. It is not, and I have a screenshot from Cigna's website showing it isn't.
Anyway, I'm feeling a bit lost about how to proceed. I know about the No Surprises act but am not totally sure how I would go about using it to my advantage here -- I do have the original emails showing that I booked my appointment with a different provider than the one who saw me, but am not sure how I can communicate this to the right people. Any advice about next steps would be very much appreciated! TIA for helping me figure out how to move through this.
EDIT: In my 20s, live in NY State, insured through employer.
Nationwide - Nationwide no longer on our side
After spending Friday with my 5 yo shihpoo in the ER with newly diagnosed IVDD, I went to submit my $600 claim only to discover my Wellness policy that I have had for the past 5 years was “expired”. I contacted Nationwide today and was informed that the policy is “no longer carried in your area and you need to reapply”. Now my dog has pre-existing conditions. I don’t remember receiving any correspondence regarding this (my policy was on autopay every month and canceled on May 1). Anyone else in a similar boat?
I know Nationwide has been discussed ad nauseum, so my apologies if this is redundant.
Blue Cross Blue Shield - Help! What are my options?
Hi all, thanks in advance for reading this. My situation is this: I’ve started a new job that had 3 options for health insurance. All were blue cross blue shield. 1 option was no hsa but in and out of network coverage. 2 options had hsa’s but one had in and out of network coverage and the other didn’t. I figured I’d get the was with a hsa and no out of network coverage. BCBS is very common where I live and figured no issues.
Well, my son had to have surgery but before hand, we gave our new insurance to all the doctors and they said they accepted it with no problems. After the surgery, we received a $16,000 bill with a statement saying all procedures are not covered because we didn’t use in network doctors. So I make some calls and come to find out the nearest doctor or hospital that is in network is 2 hours away! Nothing around me is in network!? BCBS told me I should have chosen the insurance plan with hsa and out of network coverage.
I have a 18 month old and a wife. I can’t wait till open enrollment to change health plans… what do I do?
Pets Best - Denied claim due to "pre-existing condition" even though diagnosis changed.
About two months ago, I took in a stray cat. On his second vet visit, I brought him in because I suspected conjunctivitis-his eye looked irritated. The vet also mentioned the possibility of entropion but said I’d need an eye specialist to know for sure.
I followed up with a veterinary ophthalmologist, and they diagnosed him with eyelid agenesis, not entropion. It required a $4,000 surgery, which I went through with to give him a better quality of life.
Unfortunately, Pets Best denied my claim saying The eye issue was mentioned at an earlier appointment, so they’re calling it a pre-existing condition, even though the actual diagnosis changed significantly.
Has anyone had any success appealing a claim like this? Is there a way to argue that it’s a completely different condition? Or does the fact that “something was wrong with his eye” early on automatically void any coverage?
Lively - Why does Lively HSA not allow me to open an account?
I am trying to move my HSA out of Fidelity for a previous job, since they will start charging fees. When I tried to open a Lively HSA, I got this message. Has anyone else run into this before? Any theories why I might be getting this?
\---
Thank you for reaching back out to us.
After careful consideration by our accounts team, we have determined that we will be unable to open an account for you and have no further information we can provide.
There is no further need to contact us about this as our decision is final. We consider this issue closed and will not be responding further.
Thank you for considering Lively, we truly wish you the best at finding another HSA provider.
EDIT: I just contacted Fidelity, there are actually no fees! I'll be keeping it as it is.
Trupanion - Trupanion monthly premium increased 46%, still worth it? (healthy 6yo cat in Washington, DC)
I have had Trupanion insurance for my 6yo cat Eloise since I got her as a kitten. The premiums have increased each year, which is to be expected, but I just got the new 2025 policy and it increased from $28.95 to $42.31. What?!
Eloise is healthy other than gingivitis. She had to have a dental cleaning this year and Trupanion actually covered part of it, even though the way the policy is written made it seem like they wouldn't. I submitted it anyway and most if it was accepted. I only got a little back after deductible but considered that a win. Hopefully she won't need another cleaning for a few years.
I'm not paying $42 a month so my question is, is insurance really needed for a health cat? And if so, any recommendations?
I didn't have insurance for my two prior cats (it wasn't so much a thing when I got them way back). One of them was mostly healthy for 15 years then the last 6 months of his life it was one expensive crisis after another. After he died and I got Eloise, her vet strongly encouraged insurance. I did the math and what I would have paid in 15 years of premiums was almost exactly what I paid in 6 months of those medical problems. It would have been nice to get a % back after deductible during such a stressful time. So that is what swayed me to get insurance for Eloise. $20 then $25 then $28 seemed reasonable. But $42 does not. [Especially when Trupanion CEO has a compensation package of almost a million dollars.](https://simplywall.st/stocks/us/insurance/nasdaq-trup/trupanion/management#:~:text=Trupanion's%20CEO%20is%20Margi%20Tooth,company's%20shares%2C%20worth%20%245.14M)
Her current policy:
Max lifetime benefits: no limits
Deductible per illness/injury: $500
Co-insurance: 90%/10%
Waiting period accident: 5 days
Waiting period illness: 30 days
Thanks for any insight!
Odie - Odie: How Long Should Direct Deposit Take?
I filed three claims with Odie over a month ago. Thankfully, they were all approved. I requested direct deposit for reimbursement. This was on Monday. Today is Friday and I haven't received anything. ManyPets used to pay with 24-48 hours after approval. Anyone have any experience with Odie? How long does it take them to reimburse?
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