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  1. #1
    Join Date
    Mar 2007
    Posts
    1

    Default Health Insurance and Workman's Comp

    I am employeed by a small business that offers health insurance. In March of last year I pulled my back while working, and my company offers a health insurance plan. I didn't have a major catastrophy at work, so I just went to my doctor about my back pain. I was still having trouble about a month later when my company said they were changing health insurance companies. I specifically asked if the new coverage covered pre existing and they said, yes. (I had already been to the doctor at this point) I ended up having to have back surgery, and surprise, my new insurance did not cover pre existing. Since I didn't claim a work related injury from the start workman's comp will not cover it as well. Conviently enough, the person who chose the new insurance plans, is no longer with the company. Do I have any options?

  2. #2
    Join Date
    Sep 2005
    Location
    California
    Posts
    65,006

    Default Re: Health insurance and workmans comp

    If this was simply a switch by your employer from one group health plan to another, and you had been insured for twelve or more straight months before the switch, under HIPAA you should be covered under the new plan.

  3. #3
    Join Date
    Jul 2006
    Location
    Ohio
    Posts
    1,126

    Default Re: Health insurance and workmans comp

    Quote Quoting Mr. Knowitall
    View Post
    If this was simply a switch by your employer from one group health plan to another, and you had been insured for twelve or more straight months before the switch, under HIPAA you should be covered under the new plan.
    Exactly. Pre-existing is not an issue in this case. But, why aren't you filing this with WC?

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