Tierney Blog

NY AG Sues Health Insurer over Coverage

The NY AG has sued a health insurer for denying coverage to insured who have Hepititus C.  His office then settled with seven other insurers on the same issue. The insurers say thatcoverage only kicks in when symptoms become advanced, but the AG (and private suits) say that that thisrestriction does not appear in the text of the coverage documents.  I want to make two points.  The first is that the tension between insurers and insured remains high, and the second is that in some states the AG is able to play a role either in litigation or in how that AG "represents" its client, the Department of Insurance all of whom have created complex regulations designed to keep these questions out of the courts.  For those who follow the world of attorneys general, this is one to watch.