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Ex-Employer Rejected Medical Claims by Insurance Company

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  • 11-14-2008, 11:38 AM
    i_need_help
    Ex-Employer Rejected Medical Claims by Insurance Company
    My question involves labor and employment law for the state of: NJ

    All
    I am in a difficult situation filled with rage for my ex-employer.
    Need your expert advice if something can be done to make him comply with rules and regulations.


    1. I joined a company X in last week of Sep'08.
    2. From my first paycheck in First week of Oct'08, they deducted..(Medical 450$, dental $, vision $, Life $$)

    3. On 13th Oct'08, I was terminated and within 3-4 days, I received letters from ex-emploer X, and payroll company ADP, statinig my current health coverage will continue till 31st Oct and I could choose cobra to continue.

    4. On 17th Oct'08 , I visited a doc for my 2 kids (who also are covered with me) for some vaccination.

    5. Today I received a bill for my kids from Insurance company asking 1953$ for services used.

    WHen I called Insurance company, they told, my employer had terminated benefits on 14th Oct'08.

    Is there some law to enforce them to pay my medical claim as per them it was to continue till 31st oct . Also in the month begining itself, I had paid medical 450$ from salary.

    Please help, I am anyway living hand-to-mouth and cant afford to pay 1953$
  • 11-14-2008, 12:28 PM
    mlane58
    Re: Ex-Employer Rejected Medical Claims by Insurance Company
    Have you called your ex-employer to ask? That should be your first step.
  • 11-14-2008, 12:28 PM
    cbg
    Re: Ex-Employer Rejected Medical Claims by Insurance Company
    Is there a law that will force them to pay it? No, there isn't.

    But if you still have the letter stating that your coverage will continue till the 31st, you have a pretty good chance of prevailing in small claims.

    Also, if your last day of work was 10-13 you are still well within the legal limit to elect COBRA. You could elect COBRA for the first month which would at least get the bill paid, and then use your letter to get reimbursed for the COBRA premiums in small claims.
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