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Chronic Pain Whatever the cause, support for managing long term or intractable pain. |
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08-22-2015, 09:31 PM | #1 | |||
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Senior Member
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Hi Brachial6,
Didn't you have a similar problem last month, with getting the insurer to cover your pain medication? Your attorney may need to take a different approach, so you (and your attorney) are not going through this every month? In order to enforce benefits coverage, one must determine the governing body with jurisdiction. If the company you were working for was self-insured (Federal jurisdiction), call the U.S. Department of Labor, Pensions Division. (Or maybe have your attorney do this. This launches an investigation into the employer, immediately.) If the company you were working for is not self-insured (State jurisdiction), contact your State Insurance Commissioner's office. Jo*Mar has offered good ideas, too. I would alert all Senators, Representatives, if possible. This particular insurer has a negative reputation and is known to jerk people around as much as possible. After years of ongoing harassment, I put an end to it by reporting them to the appropriate agency. Never another problem with them. I hope you can also receive the benefits due you... in peace. DejaVu |
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"Thanks for this!" says: | PamelaJune (08-23-2015) |
08-24-2015, 02:30 PM | #2 | ||
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Junior Member
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DejaVu, How do I report Travelers to who? Thanks for your advice I will do all I can! Jackie
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08-24-2015, 04:45 PM | #3 | |||
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Co-Administrator
Community Support Team
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Check your state website- for Ins board or work comp ombudsman??
Or do a web search for your state & where to report Ins carriers.. or something like that...
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08-24-2015, 05:16 PM | #4 | |||
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Senior Member
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Quote:
As I had mentioned in my earlier post, first find out if your company is self-insured or not. This can be answered by your company's personnel office and/or by the State insurance commissioner. If the company is self-insured, their insurance benefits are regulated by federal regulations. Each region in the U.S. has an office for U.S. Department of Labor, Pensions division. Contact that number and a caseworker will take your complaint. If the company is not-self-insured, they are regulated by the State insurance regulations, enforced by the State Insurance commissioner. This is something your attorney can look into if you are not up to doing this. It can be a stressful process. The Office of the State Attorney General sometimes has a healthcare ombudsmen's office. I know people have gotten help with health insurance benefits this way, as well. I do not know about cases of workers comp or disability obtaining help this way; however, a call to any of these offices will likely be helpful. I don't have numbers for your area. You will find them under state and federal government listings for your area. DejaVu |
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"Thanks for this!" says: | Brachial6 (08-24-2015), PamelaJune (08-24-2015) |
08-24-2015, 05:37 PM | #5 | |||
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Co-Administrator
Community Support Team
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California WC complaints -
http://www.dir.ca.gov/dwc/DWC_FilingAComplaint.htm http://www.dir.ca.gov/sitemap/sitemap.html
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"Thanks for this!" says: | DejaVu (08-24-2015) |
08-24-2015, 07:10 PM | #6 | |||
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Senior Member
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It looks like California has an outstanding system in place! Fantastic! (Not every state has such a robust WC division.) DejaVu |
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